Healthcare Provider Details

I. General information

NPI: 1295176154
Provider Name (Legal Business Name): LAURA BAI DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA STARK

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 EMERSON LN
BERKELEY HEIGHTS NJ
07922-2411
US

IV. Provider business mailing address

149 EMERSON LN
BERKELEY HEIGHTS NJ
07922-2411
US

V. Phone/Fax

Practice location:
  • Phone: 908-963-2547
  • Fax:
Mailing address:
  • Phone: 908-963-2547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR26810300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number634960
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number338504
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15362100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: