NPIMap

Individual provider Active NPI

Andrew O Baddoo, M.D.

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1881653608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07083600 Issued in NJ
Practice address
745 Northfield Ave
West Orange, NJ 07052-1144
Phone
(973) 731-3800
NPI assigned
Mar 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07083600 NJ Primary

Addresses

Primary practice location

745 Northfield Ave
West Orange, NJ 07052-1144

Mailing address

48 Bristol Rd
Piscataway, NJ 08854-3692
Phone (732) 271-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000032 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3870489040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Evergreen PL
Suite 308
East Orange, NJ 07018-2114
Phone (973) 731-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
All Health Services PC Internal Medicine CurrentSince Aug 26, 2023 Accepting new patients
Renal Medical Associates LLC Internal Medicine CurrentSince May 1, 2006 Accepting new patients
Hamilton Trenton Urgent Care Center, LLC Internal Medicine PastSince Aug 6, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

108 S Munn Ave
East Orange, NJ 07018
Phone (973) 674-8100

60 Evergreen Pl
Ste 308
East Orange, NJ 07018
Phone (908) 451-3544

745 Northfield Ave
Ste 1
West Orange, NJ 07052
Phone (973) 378-2003

Interoperability endpoints

  • Direct secure messaging: andrew.baddoo@rmal-nj.direct.office.nextgen.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/53393c7a-0b87-4dcb-bbca-68e82f45f8dc/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881653608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BRISTOL RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543692",
            "telephone_number": "732-271-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521144",
            "telephone_number": "973-731-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDOO",
        "first_name": "ANDREW",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07083600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.