Joel Oliver Baxter I, REGISTERED NURSE
Individual provider Active NPI Nursing Home Administrator · Sunnyside, NY
NPI 1669822375 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1669822375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Home Administrator 376G00000X
- License
- 706250 (NY)
- Practice address
- 4556 42ND St Apt 4D
Sunnyside, NY 11104-2949 - Phone
- (929) 225-9342
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706250 | NY | MD | Nursing Home Administrator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 706250 | NY | Yes |
Addresses
Primary practice location
4556 42ND St Apt 4D
Sunnyside, NY 11104-2949
Mailing address
4556 42ND St Apt 4D
Sunnyside, NY 11104-2949
Phone (929) 225-9342
Other providers in Sunnyside, NY
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- Jorge Alberto Ballestas
- Michelle Bangiyev
- Charles Barrios
- Alayna Barton
- Be Kind Physical Therapy PLLC
- Rowena Baticados Becit
- Stephen Joseph Becker
- Behaviors of Nyc Licensed Behavior Analyst Therapy, LLC
- Bellevue Hospital Center
All providers in Sunnyside, NY · Nursing Home Administrator in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.