Arthur Badillo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA050122 Issued in NJ

Practice address

643 645 Mt Prospect Ave 1St Floor
Newark, NJ 07104-3109

Phone

(973) 484-5607

Fax

(973) 484-6958

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: abadillo@direct.rwjbh.org

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1770635484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 645 MT PROSPECT AVE 1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043109",
            "telephone_number": "973-484-1455",
            "fax_number": "973-484-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 645 MT PROSPECT AVE 1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043109",
            "telephone_number": "973-484-5607",
            "fax_number": "973-484-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA050122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R. Bach, M.D.
• Ashley Bachkhaz, OD
• Bonita L. Bachl, M.D.
• Back to Health, LLC
• Carol Bacon, APN
• Pearl Jinju Bae, LAC
• Angie Baez
• Frank Baffige, LPC
• Samy U Baig, R.PH
• Shabaaz Mirza Baig, MD

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.