| Juanita D Baca Barreto, CNM, WHNP | |
|
83 Lodi St., Hackensack, NJ 07601 | |
| (201) 546-7887 | |
| Not Available |
| Full Name | Juanita D Baca Barreto |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 83 Lodi St., Hackensack, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518219526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | BAC1-0437-1230 (New Jersey) | Secondary |
| 367A00000X | Advanced Practice Midwife | 25ME00051700 (New Jersey) | Primary |
| Entity Name | Newark Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita D Baca Barreto, CNM, WHNP 83 Lodi St, Hackensack, NJ 07601-5347 Ph: (201) 546-7887 | Juanita D Baca Barreto, CNM, WHNP 83 Lodi St., Hackensack, NJ 07601 Ph: (201) 546-7887 |
Ms. Barbara Lee Scanlon, CNM / MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 58 Summit Ave, Hackensack, NJ 07601 Phone: 201-489-2255 Fax: 201-489-4799 | |
Ms. Kristin Ann Mallon, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 358 Beech St, Hackensack, NJ 07601 Phone: 201-487-8600 | |
Polina Dubinsky, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 214 State St, Hackensack, NJ 07601 Phone: 201-583-5835 |