Baker Pediatrics Llc | |
34 The Promenade Edgewater NJ 07020-2127 | |
(551) 355-1200 | |
Not Available |
Full Name | Baker Pediatrics Llc |
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Speciality | Pediatrics |
Location | 34 The Promenade, Edgewater, New Jersey |
Authorized Official Name and Position | Zeyad Baker (PRESIDENT) |
Authorized Official Contact | 2017793460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baker Pediatrics Llc 34 The Promenade Edgewater NJ 07020-2127 Ph: (551) 355-1200 | Baker Pediatrics Llc 34 The Promenade Edgewater NJ 07020-2127 Ph: (551) 355-1200 |
NPI Number | 1194487397 |
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Provider Enumeration Date | 10/06/2021 |
Last Update Date | 08/08/2022 |
Medicare PECOS PAC ID | 7719354398 |
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Medicare Enrollment ID | O20221111000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194487397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Provider Name | Zeyad Baker |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730328634 PECOS PAC ID: 5193850303 Enrollment ID: I20100312000649 |
Provider Name | Iyad Baker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730341322 PECOS PAC ID: 4587823463 Enrollment ID: I20120313000263 |
Provider Name | Clara Lee |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881822369 PECOS PAC ID: 0648422683 Enrollment ID: I20121220000189 |
Provider Name | Sara Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528682309 PECOS PAC ID: 2567885403 Enrollment ID: I20200709003753 |
Provider Name | Tayyab Malik |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003311937 PECOS PAC ID: 6406267830 Enrollment ID: I20201116002122 |
Provider Name | Allyson J Martell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306500517 PECOS PAC ID: 0648660530 Enrollment ID: I20211208002329 |
Provider Name | Jocelyn Patricia Mariani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780354563 PECOS PAC ID: 3870983620 Enrollment ID: I20211209001492 |
Provider Name | Kristy Agresta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427711423 PECOS PAC ID: 4284027491 Enrollment ID: I20220211000729 |
Provider Name | Diana Palanker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104385988 PECOS PAC ID: 0446627020 Enrollment ID: I20221111000012 |
Provider Name | Sylvia Youssif |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487064168 PECOS PAC ID: 1759645658 Enrollment ID: I20221122003582 |
Provider Name | Michael Tsadyk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194212902 PECOS PAC ID: 6709274277 Enrollment ID: I20230501002447 |
Provider Name | Mohammad Jurri |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467089078 PECOS PAC ID: 7416314208 Enrollment ID: I20230609001754 |
Provider Name | Auda Auda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780280875 PECOS PAC ID: 0345608428 Enrollment ID: I20230621003684 |
Provider Name | Joseph Daniel Herman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841984820 PECOS PAC ID: 4183062201 Enrollment ID: I20240409000564 |
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