Active NPI
S W Baik M D P a
- Specialist
- Fort Lee, NJ
National Provider Identifier
1790746782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- S W BAIK M D P A
- Practice address
- 1608 Lemoine Ave
Suite 200
Fort Lee, NJ 07024-5622 - Phone
- (201) 302-9774
- Fax
- (201) 482-0664
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seoung Won Baik
- Title
- Physician
- Phone
- (201) 302-9774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1608 Lemoine Ave
Suite 200
Fort Lee, NJ 07024-5622
Mailing address
1608 Lemoine Ave Ste 200
Fort Lee, NJ 07024-5636
Phone (201) 302-9774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3936406 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1608 Lemoine Ave
Ste 200
Fort Lee, NJ 07024
Phone (201) 302-9774
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Fort Lee, NJ
- NPI 1902877327
-
- Gastroenterology Physician
- Cherry Hill, NJ
- NPI 1851738819
-
- Specialist
- Englewood Cliffs, NJ
- NPI 1700045598
-
- Specialist
- Secaucus, NJ
- NPI 1558481861
-
- Anesthesiology Physician
- New York, NY
- NPI 1093800468
-
- Gastroenterology Physician
- New York, NY
- NPI 1265417299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1790746782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 LEMOINE AVE STE 200",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245636",
"telephone_number": "201-302-9774",
"fax_number": "201-482-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 LEMOINE AVE",
"address_2": "SUITE 200",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245622",
"telephone_number": "201-302-9774",
"fax_number": "201-482-0664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S W BAIK M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "BAIK",
"authorized_official_first_name": "SEOUNG",
"authorized_official_middle_name": "WON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "201-302-9774"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3936406",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.