Baseemah Marshall, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02491600 Issued in NJ

Practice address

275 Hobart St
Perth Amboy, NJ 08861

Phone

(732) 376-9333

NPI assigned

Jul 22, 2013

Last updated

May 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: baseemah.marshall.p1@direct.memhc.nextgenshare.com

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.

• City of Newark

  dba Newark Department of Health and Community Wellness

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1356561278
  Medicare reassignment NPD
• City of Newark

  dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1972206258
  NPD
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Perth Amboy, NJ
  • NPI 1306891791
  NPD (past)
• City of Newark

  dba Newark Department of Health and Community Welllness

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1295958908
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1891137782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613396",
            "telephone_number": "732-376-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOBART ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-376-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BASEEMAH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02491600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370291",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elahe Marandi, M.D
• Seth David Margulies, DDS
• Elaine Mariolis, D.P.M.
• Mark L Niemiera MD PC
• Caridad Marmolejos, DDS
• Joseph Magdadaro Marson, APN, GNP
• Mayra Martinez, RDH
• Raman Marwaha, MD
• Bassam Massabny, DDS
• Teena Mathew, MD

• General Practice Dentistry in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.

Verify at the official NPI Registry.