Baxter Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

234005 Issued in NY

Legal business name

BAXTER MEDICAL CARE PC

Practice address

17121 Jamaica Ave
Jamaica, NY 11432-5427

Phone

(718) 521-4442

Fax

(718) 305-4568

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Addy Nnsewo, MD

Title

President

Phone

(516) 236-0336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1801286679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130A MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344134",
            "telephone_number": "718-233-2556",
            "fax_number": "718-233-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325427",
            "telephone_number": "718-521-4442",
            "fax_number": "718-305-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "NNSEWO",
        "authorized_official_first_name": "ADDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-236-0336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc J Bauman, DDS
• Nicholas Baumann
• Vanessa Baumback, LCSW
• Mario Bautista
• Francesca Bauzile I
• Kimberly Baxter
• Bayside Eye Care Medical PC
• Steve Bazelais
• Bbo Holdings, Inc
• BBSJ Dental Care PC

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.