Sherlaine Baas
Individual provider Active NPI Adult Health Nurse Practitioner · Bloomfield, NJ
NPI 1962812602 · NPPES record last updated May 12, 2014
Key facts
- NPI
- 1962812602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00494400 (NJ)
- Practice address
- 194 Broad St
Bloomfield, NJ 07003-2606 - Phone
- (973) 748-5700
- NPI assigned
- May 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barnabas Health Medical Group PC
Practice addresses (Care Compare)
225 Williamson St
FL 1
Elizabeth, NJ 07202-3625
Phone (908) 994-5500
Hospital & facility affiliations
- Trinitas Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818002149 | NJ | Practitioner - Nurse Practitioner | 0143447953 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yes Wellness PA | Current |
Accepting new patients | |
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Ijkg Opco LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current |
Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
225 Williamson St
Fl 1
Elizabeth, NJ 07202
Phone (908) 994-5500
50 Harrison St
Ste 212F
Hoboken, NJ 07030
Phone (201) 484-8950
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
38 Freneau Ave
Matawan, NJ 07747
Phone (732) 765-5600
3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949
Interoperability endpoints
- sherlaine.baas@direct.bayonnemedicalcenter.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00494400 | NJ | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00494400 | NJ |
Addresses
Primary practice location
194 Broad St
Bloomfield, NJ 07003-2606
Mailing address
270 Gates Ave
Floor 2
Jersey City, NJ 07305-2472
Phone (551) 226-2829
Other providers in Bloomfield, NJ
- Andre Augustin
- Nicholas Anthony Avianto
- Ronald C. Avila
- Nikki Marie Aviles
- Marina M Awadalla
- Arielle Michelle Baeza
- Carol A Bainbridge
- Charles Vincent Bainbridge
- Mohammad Ayub Bajwa
- Balanced Therapy Solutions LLC
All providers in Bloomfield, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.