Provider Demographics
NPI:1922101351
Name:BAKER, DONALD JOHN (MD)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:JOHN
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06217400207N00000X, 207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P1845476OtherOXFORD
NJ0443337000OtherKEYSTONE HEALTHPLAN
1315787OtherMAILHANDLERS
1345833OtherUNITED HEALTHCARE
NJ0443337000OtherAMERIHEALTH
150196OtherPREFERRED HEALTH NETWORK (PHN)
0804249000OtherINDEPENDENT BCBS
NJ5030223OtherAETNA PPO
MA678471OtherHIGHMARK BCBS
070013748OtherRR MEDICARE
NJ2145889OtherAETNA HMO
1345833OtherUNITED HEALTHCARE
NJ779902Medicare PIN