Individual provider Active NPI

Michael Ray Bayless, M.D.

  • Family Medicine Physician
  • Ramsey, NJ
National Provider Identifier
1750713616
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10648100 Issued in NJ
Practice address
295 N Franklin Tpke
Ramsey, NJ 07446-2823
Phone
(551) 497-5679
NPI assigned
Aug 2, 2013
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA10648100 NJ Primary

Addresses

Primary practice location

295 N Franklin Tpke
Ramsey, NJ 07446-2823

Mailing address

85 Godwin Ave
Midland Park, NJ 07432-1970
Phone (646) 388-1110

Other practice location 1

85 Godwin Ave
Midland Park, NJ 07432-1970
Phone (646) 388-1110

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mike_bay44@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001000771 NJ Practitioner - Family Practice 8729318944 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10648100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 12, 2019 Accepting new patients
Excel Urgent Care of Paramus LLC Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
Doctor's Office of West Caldwell LLC Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
Excel Urgent Care of NJ LLC Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
Hackensack Meridian Urgent Care, PC Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
Doctors Office of New Jersey, LLC Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
Summit Medical Group PA Single Specialty CurrentSince Dec 12, 2019 Accepting new patients
Ritu Suri MD, LLC Single Specialty CurrentSince Oct 21, 2019 Accepting new patients
The Radiology Group of New Jersey, LLC Single Specialty PastSince Aug 13, 2019 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2040 State Route 33
Neptune City, NJ 07753
Phone (732) 455-5800

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

295 N Franklin Tpke
Ramsey, NJ 07446
Phone (551) 497-5679

76 Willowbrook Blvd
Unit C2
Wayne, NJ 07470
Phone (862) 246-7938

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.michaelbayless@136290.advancedmd-direct.com
  • Direct secure messaging: michael.bayless.1@2983.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1750713616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321970",
            "telephone_number": "646-388-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 N FRANKLIN TPKE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462823",
            "telephone_number": "551-497-5679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Godwin Ave",
            "address_purpose": "LOCATION",
            "city": "Midland Park",
            "state": "NJ",
            "postal_code": "074321970",
            "country_code": "US",
            "telephone_number": "646-388-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10648100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mike_bay44@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "85 Godwin Ave",
            "city": "Midland Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074321970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.