BAJA MEDICAL OFFICES PLLC - NPI NUMBER 1255670584

Summary

Provider Name: BAJA MEDICAL OFFICES PLLC

NPI Number: 1255670584

Clasification: Orthopaedic Surgery (207X00000X)

Address:
30 HATFIELD LN STE 201
GOSHEN, NY
ZIP 10924

Phone Number: (845) 294-3446



Detailed Information

BAJA MEDICAL OFFICES PLLC is an orthopaedic surgeon in Goshen, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. The assigned NPI number for this provider is 1255670584 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

30 HATFIELD LN STE 201
GOSHEN, NY
ZIP 10924-768
Phone: (845) 294-3446

The provider's authorized official is Ronald Israelski .
The authorized official title is Owner and has the following contact phone number (845) 649-6302.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/6/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207X00000X Orthopaedic Surgery 182146 NY Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1255670584 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name BAJA MEDICAL OFFICES PLLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 30 HATFIELD LN STE 201 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name GOSHEN The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 109246768 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 8452943446 The telephone number associated with the location address of the provider being identified.
11 Provider Enumeration Date 2/6/2013 The date the provider was assigned a unique identifier (assigned an NPI).
12 Last Update Date 2/6/2013 The date that a record was last updated or changed.
13 Authorized Official Last Name ISRAELSKI The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
14 Authorized Official First Name RONALD The first name of the authorized official.
15 Authorized Official Title or Position OWNER The title or position of the authorized official.
16 Authorized Official Telephone Number 8456496302 The 10-position telephone number of the authorized official.
17 Healthcare Provider Taxonomy Code 1 207X00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 182146 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 NY The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text DR.
23 Authorized Official Credential Text M.D.
24 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.