Nicholas G Baranetsky
Endocrinologist (Diabetes Doctor)
268 Dr Martin Luther King Jr Blvd Ste B
Newark
, New Jersey 07102-2011
Nicholas G Baranetsky
Endocrinologist (Diabetes Doctor)
268 Dr Martin Luther King Jr Blvd Ste B
Newark
, New Jersey 07102-2011
(973) 877-5210
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Nicholas G Baranetsky
- Po Box 298
- Livingston, NJ
- Zip : 07039
- Fax : (973) 877-5210
- Phone : (973) 877-5185
Second Address
- Nicholas G Baranetsky
- 268 Dr Martin Luther King Jr Blvd Ste B
- Newark, NJ
- Zip : 07102-2011
- Phone : (973) 877-5185
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MA046790 | NJ |
National Provider Identifier
| NPI | 1093808164 |
|---|---|
| Provider Name | Nicholas G Baranetsky |
| First Address | Livingston, NJ 07039 |
| Second Address | Newark, NJ 07102-2011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1080709 | (05) | NJ |
| 28530 | AETNA (01) | |
| B42573 | (02) | |
| E5102 | OXFORD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.