Active NPI
Carol G. Baum, M.D.
- Allergy & Immunology Physician
- New York, NY
National Provider Identifier
1790780187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 158609
- Practice address
- 620 Columbus Ave.
2ND Floor ENT and Allergy Associates LLP,
New York, NY 10024 - Phone
- (212) 600-9411
- NPI assigned
- Jun 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 031162 | CT | |
| Allergy & Immunology Physician | 207K00000X | 158609 | NY | Primary |
Addresses
Primary practice location
620 Columbus Ave.
2ND Floor ENT and Allergy Associates LLP,
New York, NY 10024
Mailing address
560 While Plains Rd.
Suite 500 ENT and Allergy Associates LLP
Tarrytown, NY 10591-5112
Phone (914) 333-5801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01218139 | Medicaid | NY | |
| 001311620 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158609 | NY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Audiology & Hearing Aid Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Danbury, CT
- NPI 1861677031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1790780187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WHILE PLAINS RD.",
"address_2": "SUITE 500 ENT AND ALLERGY ASSOCIATES LLP",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915112",
"telephone_number": "914-333-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 COLUMBUS AVE.",
"address_2": "2ND FLOOR ENT AND ALLERGY ASSOCIATES LLP,",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-600-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "CAROL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "031162",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "158609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01218139",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001311620",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.