Seoung Won Baik, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA43923 Issued in NJ

Practice address

1608 Lemoine Ave Ste 200
Fort Lee, NJ 07024-5636

Phone

(201) 302-9774

NPI assigned

Feb 1, 2006

Sex

Male

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

Other names 1

• Dr. Andrew Baik Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gastroenterology Associates of Central Jersey

  • Specialist
  • Edison, NJ
  • NPI 1386615821
  Medicare reassignment NPD Authorized official
• S W Baik M D P a

  • Specialist
  • Fort Lee, NJ
  • NPI 1790746782
  Medicare reassignment NPD Authorized official
• Florham Park Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Florham Park, NJ
  • NPI 1023253291
  NPD Authorized official
• Fort Lee Medical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fort Lee, NJ
  • NPI 1467681775
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1902877327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 200",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-302-9774",
            "fax_number": "732-744-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 200",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-302-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 Oak Tree Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202072",
            "country_code": "US",
            "telephone_number": "732-744-9090",
            "fax_number": "732-744-1592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1931 Oak Tree Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202072",
            "country_code": "US",
            "telephone_number": "732-744-9090",
            "fax_number": "732-744-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIK",
        "first_name": "SEOUNG",
        "middle_name": "WON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA43923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3936406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "BAIK",
            "prefix": "DR.",
            "credential": "M.D.1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Babybuddha Products LLC
• Andrew Chungsup Bae, D.D.S
• Jay Kyung Bae, DDS
• Stacy Bagaloo
• Sammy Sang-June Bai, M.D.
• Haley Balouch
• Raviprasad Bandi
• Scott M Banford, LCSW
• Harry Banschick, M.D.
• Fenglei Bao

• Specialist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.