Active NPI
Mary J Baumont
- Specialist
- Gillette, NJ
National Provider Identifier
1679913438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00259060
- Practice address
- 136 Cottage PL W
Gillette, NJ 07933-1607 - Phone
- (908) 566-2779
- NPI assigned
- Jun 26, 2013
- Last updated
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00259060 | NY | Primary |
Addresses
Primary practice location
136 Cottage PL W
Gillette, NJ 07933-1607
Mailing address
380 2ND Ave
New York, NY 10010-5615
Phone (646) 438-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00259060 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1679913438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "646-438-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 COTTAGE PL W",
"city": "GILLETTE",
"state": "NJ",
"postal_code": "079331607",
"telephone_number": "908-566-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMONT",
"first_name": "MARY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "00259060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.