Physician Compare National (NPI:1730341322)

HEALTHCARE PROVIDER: IYAD BAKER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730341322
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587823463
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120313000263
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAKER
	Individual professional last name
Provider First Name	IYAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	250 MOONACHIE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	MOONACHIE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070741322
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y