Jose a Baez MD PC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

197338 Issued in NY

Legal business name

JOSE A BAEZ MD PC.

Practice address

707 W 171St St Ste W
New York, NY 10032-2811

Phone

(212) 927-4765

Fax

(212) 927-4765

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Anania Pena-Baez, NURSE

Title

Administrator

Phone

(212) 927-4765

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Antonio Moran-Almonte, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New York, NY
  • NPI 1396760757
  NPD (past)
• Roberto Antonio Moran, MD

  • Family Medicine Physician
  • Corona, NY
  • NPI 1528550647
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1982978326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAINT JOHNS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042913",
            "telephone_number": "212-927-4765",
            "fax_number": "212-927-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 171ST ST STE W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322811",
            "telephone_number": "212-927-4765",
            "fax_number": "212-927-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A BAEZ MD PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "PENA-BAEZ",
        "authorized_official_first_name": "ANANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "212-927-4765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "197338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01530354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noemy Jorge, RD
• Meghan Lenz Jorgenson, PSYD
• Susan Jormark, MD
• Paula Konnor Jorn, PSYD
• Jackie Lynne Jornadal, PA-C
• Jose a Goris, MD PC
• Jose D Aristy MD PC
• Jose Goris MD PC
• Jose Lares-Guia Physician PC
• Jose Ortiz MD PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.