Provider Demographics
NPI:1932387396
Name:DR. DONALD F. BAKER
Entity type:Organization
Organization Name:DR. DONALD F. BAKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-543-6101
Mailing Address - Street 1:5 COLD HILL RD S
Mailing Address - Street 2:SUITE #4
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-3230
Mailing Address - Country:US
Mailing Address - Phone:973-543-6101
Mailing Address - Fax:973-543-4071
Practice Address - Street 1:5 COLD HILL RD S
Practice Address - Street 2:SUITE #4
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-3230
Practice Address - Country:US
Practice Address - Phone:973-543-6101
Practice Address - Fax:973-543-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00374900332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1177303Medicaid
NJ521330Medicare PIN
NJU12488Medicare UPIN
NJ0510410001Medicare NSC