Individual provider Active NPI

Juan Manuel Baez, M.D., PH.D.

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1881832871
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
254097 Issued in NY
Practice address
41-61 Kissena Blvd
Flushing, NY 11355-2686
Phone
(718) 663-5008
Fax
(718) 663-5008
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 254097 NY Primary

Addresses

Primary practice location

41-61 Kissena Blvd
Flushing, NY 11355-2686

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other identifiers 1

IdentifierTypeStateIssuer
03313471MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000800 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3476719253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PC 307 clinicians

Practice addresses (Care Compare)

740 64TH St
Brooklyn, NY 11220-4714
Phone (718) 439-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Current Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 26, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 26, 2022 Accepting new patients
Mount Sinai School of Medicine CurrentSince Jul 19, 2020 Accepting new patients
Mount Sinai School of Medicine CurrentSince Jul 19, 2020 Accepting new patients
Ravi Hotchandani MD PC PastSince Jun 1, 2010 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

2209 Merrick Rd
Ste 100
Merrick, NY 11566
Phone (516) 371-5800

55 Water St
Fl 2
New York, NY 10041

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jbaez45150@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 6

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1881832871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-61 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552686",
            "telephone_number": "718-663-5008",
            "fax_number": "718-663-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "254097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03313471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.