Healthcare Provider Details

I. General information

NPI: 1942186721
Provider Name (Legal Business Name): NAIMISH BAXI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E MIDLAND AVE STE 1A
PARAMUS NJ
07652-2926
US

IV. Provider business mailing address

PO BOX 626
GREAT RIVER NY
11739-0626
US

V. Phone/Fax

Practice location:
  • Phone: 201-599-8018
  • Fax:
Mailing address:
  • Phone: 631-892-2745
  • Fax: 631-201-3179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier262494
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerNEW YORK LICENSE
# 2
Identifier25MA09263500
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerNEW JERSEY LICENSE

VIII. Authorized Official

Name: NAIMISH BAXI
Title or Position: OWNER
Credential: MD
Phone: 201-599-8018