Rebecca Bae, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02396200 Issued in NJ

Practice address

1375 Route 23
Butler, NJ 07405-1733

Phone

(973) 838-1177

NPI assigned

Jun 8, 2009

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yun Gyeong Bae Former 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stamler Family Dental LLC

  • General Practice Dentistry
  • Butler, NJ
  • NPI 1043563125
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1952537656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 ROUTE 23",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051733",
            "telephone_number": "973-838-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 ROUTE 23",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051733",
            "telephone_number": "973-838-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02396200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUN",
            "last_name": "BAE",
            "middle_name": "GYEONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alfa Development Inc.
• Alfa Development Inc.
• Anakan Physical Therapy Limited Liability Company
• Siria A Arias Chevez
• Axis Physical Therapy, LLC
• Karin L Beach, RN, BSN, ICCE, ICD
• Sarah W Blecherman, MD
• Bloomingdale Podiatry Center, PA
• Borough of Butler
• Kathleen Anne Brand, RPH, CCP

• Dentist in Butler, NJ
• Providers in Butler, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.