EDUARDO R BAUTISTA (NPI# 1265405880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265405880 |
| Entity Type | Individual |
| Full Name | EDUARDO R BAUTISTA |
| Credential | MD |
| Practice Address |
19 Davis Ave Fl 7 Neptune NJ 07753-4488 |
| Practice Telephone | 7327764524 |
| Practice Fax Number | 7327764639 |
| Mailing Telephone | 7327764524 |
| Mailing Fax Number | 7327764639 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MA062854 | NJ | Other Service Providers |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA06285400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7856506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242009 | Eduardo Bautista | Radiology | 625 East Price Rd, Brownsville, TX 78521 | 2006-08-16 |
| Street Address |
19 DAVIS AVE FL 7 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471122 | Joseph Cosimo Canterino | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2005-10-18 |
| 1114543733 | Casey Marks | Genetic Counselor, MS | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2020-06-19 |
| 1982064176 | Nina Shah Solanki | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2016-03-01 |
| 1073952644 | Blair Faith Germain | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2013-06-17 |
| 1457614679 | Valeria M Di Stefano | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2012-06-21 |
| 1467728337 | Jonathan Faro | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2012-03-26 |
| 1154619500 | Nina Stella Jacobson | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2011-07-19 |
| 1588980361 | Sheveta Jain | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2010-04-19 |
| 1609016815 | Dzhamala Gilmandyar | Obstetrics & Gynecology | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2009-02-27 |
| 1700095544 | Elizabeth Joy Assing | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073952644 | Blair Faith Germain | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2013-06-17 |
| 1700095544 | Elizabeth Joy Assing | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2007-05-21 |
| 1023173382 | Helen Karwowska | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-12-27 |
| 1477660264 | Ilana J Torine | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-08-25 |
| 1063488997 | Ann S Ross | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-02-28 |
| 1568437382 | David G Ramos | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-02-23 |
| 1467427963 | Meltem Karatas | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-02-20 |
| 1710951074 | Marzena M. Bona | Pediatrics | 1945 Corlies Ave, Neptune, NJ 07753-4859 | 2006-02-14 |
| 1649243684 | Michael A Graff | Pediatrics | 19 Davis Ave Fl 7, Neptune, NJ 07753-4488 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1427398536 | Aelia Inc | Pediatrics | 405 Gregory Rd, Paramus, NJ 07652-2117 | 2013-02-26 |
| 1376782060 | Midatlantic Neonatology Associates | Pediatrics | 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 | 2009-02-19 |
| 1952571515 | John Freddy Ladino | Pediatrics | 100 Madison Ave # 85, Morristown, NJ 07960-6136 | 2008-03-10 |
| 1205040425 | Fawaz Kashlan | Pediatrics | 5 Springhouse Rd, Ocean, NJ 07712-3727 | 2007-05-09 |
| 1134243389 | Robert L Simon | Pediatrics | 34 Cedar Ln, Bridgeton, NJ 08302-7152 | 2007-03-16 |
| 1902938988 | Chung J Peng | Pediatrics | 1 Blackberry Ln, North Caldwell, NJ 07006-4170 | 2007-03-12 |
| 1285701094 | Mary Beth Browne | Pediatrics | 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 | 2006-11-29 |
| 1922182310 | Judy G Saslow | Pediatrics | One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 | 2006-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.