Individual provider Active NPI

Samuel Bae, MD

  • Gastroenterology Physician
  • Englewood, NJ
National Provider Identifier
1760443139
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07068500 Issued in NJ
Practice address
25 Rockwood Place
Suite 211
Englewood, NJ 07631-4937
Phone
(201) 510-4451
NPI assigned
Mar 28, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07068500 NJ Primary

Addresses

Primary practice location

25 Rockwood Place
Suite 211
Englewood, NJ 07631-4937

Mailing address

25 Rockwood Place
Suite 211
Englewood, NJ 07631-4937
Phone (201) 510-4451

Other identifiers 1

IdentifierTypeStateIssuer
833602MedicaidNJ

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
I20110711000181 NJ Practitioner - Gastroenterology 5698804581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 568-0493

1555 Ctr Ave
Fort Lee, NJ 07024-4612
Phone (201) 510-0200

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

910 Sylvan Ave
Suite 110
Englewood, NJ 07632-3306
Phone (551) 501-8989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07068500NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Gastroenterology Associates, PA CurrentSince May 22, 2000 Accepting new patients
Hunterdon Endosurgery Center Current Accepting new patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2018 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

910 Sylvan Ave
Ste 110
Englewood Cliffs, NJ 07632
Phone (551) 501-8989

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

1100 Wescott Dr
#206207
Flemington, NJ 08822

1100 Wescott Dr
Ste 206
Flemington, NJ 08822
Phone (201) 534-6116

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1760443139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PLACE",
            "address_2": "SUITE 211",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314937",
            "telephone_number": "201-510-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PLACE",
            "address_2": "SUITE 211",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314937",
            "telephone_number": "201-510-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07068500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "833602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.