Organization Active NPI

Julio Baquerizo Apn LLC

  • Cardiovascular Disease Physician
  • Woodbridge, NJ
National Provider Identifier
1962121277
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JULIO BAQUERIZO APN LLC
Practice address
10 Green St Unit 4-217
Woodbridge, NJ 07095-3301
Phone
(732) 882-2573
Fax
(323) 241-8767
NPI assigned
Aug 22, 2022
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Julio Baquerizo, APNNPI 1922386812
Title
Owner
Phone
(732) 882-2573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

10 Green St Unit 4-217
Woodbridge, NJ 07095-3301

Mailing address

10 Green St Unit 4-217
Woodbridge, NJ 07095-3301
Phone (732) 882-2573

Other identifiers 2

IdentifierTypeStateIssuer
26NJ00336100OtherNJSTATE LICENSE
0330574MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107000152 NJ Part B Supplier - Clinic/Group Practice 1456728336 Receives reassigned benefits from 1 practitioner
Practice locations: South River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1962121277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREEN ST UNIT 4-217",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953301",
            "telephone_number": "732-882-2573",
            "fax_number": "323-241-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREEN ST UNIT 4-217",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953301",
            "telephone_number": "732-882-2573",
            "fax_number": "323-241-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO BAQUERIZO APN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "BAQUERIZO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-882-2573",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00336100",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330574",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.