| Baker Pediatrics Llc | |
|
34 The Promenade Edgewater NJ 07020-2127 | |
| (551) 355-1200 | |
| Not Available |
| Full Name | Baker Pediatrics Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 7719354398 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730328634 PECOS PAC ID: 5193850303 Enrollment ID: I20100312000649 |
| Provider Name | Iyad Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341322 PECOS PAC ID: 4587823463 Enrollment ID: I20120313000263 |
| Provider Name | Sara Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682309 PECOS PAC ID: 2567885403 Enrollment ID: I20200709003753 |
| Provider Name | Tayyab Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003311937 PECOS PAC ID: 6406267830 Enrollment ID: I20201116002122 |
| Provider Name | Allyson J Martell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306500517 PECOS PAC ID: 0648660530 Enrollment ID: I20211208002329 |
| Provider Name | Jocelyn Patricia Mariani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780354563 PECOS PAC ID: 3870983620 Enrollment ID: I20211209001492 |
| Provider Name | Kristy Agresta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427711423 PECOS PAC ID: 4284027491 Enrollment ID: I20220211000729 |
| Provider Name | Diana Palanker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104385988 PECOS PAC ID: 0446627020 Enrollment ID: I20221111000012 |
| Provider Name | Sylvia Youssif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487064168 PECOS PAC ID: 1759645658 Enrollment ID: I20221122003582 |
| Provider Name | Michael Tsadyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212902 PECOS PAC ID: 6709274277 Enrollment ID: I20230501002447 |
| Provider Name | Mohammad Jurri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089078 PECOS PAC ID: 7416314208 Enrollment ID: I20230609001754 |
| Provider Name | Auda Auda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780280875 PECOS PAC ID: 0345608428 Enrollment ID: I20230621003684 |
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