Active NPI
Joseph Benjamin Baratta, MD
- Surgery Physician
- Franklin Lakes, NJ
National Provider Identifier
1871681163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA04531900
- Practice address
- 805 Peach Tree LN
Franklin Lakes, NJ 07417-2300 - Phone
- (201) 563-5372
- Fax
- (201) 847-8298
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA04531900 | NJ | Primary |
Addresses
Primary practice location
805 Peach Tree LN
Franklin Lakes, NJ 07417-2300
Mailing address
805 Peach Tree LN
Franklin Lakes, NJ 07417-2300
Phone (201) 563-5372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6423108 | Medicaid | NJ | |
| 01639394 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081209000584 | NJ | Practitioner - General Surgery | 2466513445 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys General Medical Group PC | Surgery | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1871681163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 PEACH TREE LN",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172300",
"telephone_number": "201-563-5372",
"fax_number": "201-847-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PEACH TREE LN",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172300",
"telephone_number": "201-563-5372",
"fax_number": "201-847-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARATTA",
"first_name": "JOSEPH",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA04531900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6423108",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01639394",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.