Provider Demographics
NPI:1154350908
Name:BAYADA NURSES
Entity type:Organization
Organization Name:BAYADA NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLANNERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-793-1703
Mailing Address - Street 1:101 EXECUTIVE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4236
Mailing Address - Country:US
Mailing Address - Phone:856-793-1703
Mailing Address - Fax:856-439-0412
Practice Address - Street 1:1 S NEW YORK AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-8012
Practice Address - Country:US
Practice Address - Phone:609-441-9100
Practice Address - Fax:609-441-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0015324251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ115652OtherCAREMARK, INC
NJ25626OtherCOVENTRY HEALTH CARE
NJA10008OtherMID-ATLANTIC HEALTH PLAN
NJ0015415Medicaid
NJ1024958OtherHORIZON NJ HEALTH
NJ228865OtherMAMSI
NJYVPH8NOtherDYFS
NJ47412OtherKEYSTONE MERCY HEALTH PLA
NJ81CN5ROtherDDD
NJ0004461000OtherAMERIHEALTH - NJ
NJ819074OtherHORIZON BC/BS OF NJ
NJ000763OtherHORIZON HEALTHCARE - NY
NJ37545OtherAMERIGROUP NEW JERSEY
NJ0L0714OtherACS/HEALTH NET
NJ1504904OtherMAGNACARE
NJ68746OtherAETNA/US HEALTHCARE
NJ803200Z4646100OtherEMPIRE BC/BS
NJA476325OtherOXFORD HEALTH PLAN