Provider Demographics
NPI:1942186721
Name:NAIMISH BAXI MD PC
Entity type:Organization
Organization Name:NAIMISH BAXI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAIMISH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-599-8018
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:GREAT RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11739-0626
Mailing Address - Country:US
Mailing Address - Phone:631-892-2745
Mailing Address - Fax:631-201-3179
Practice Address - Street 1:15 E MIDLAND AVE STE 1A
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2926
Practice Address - Country:US
Practice Address - Phone:201-599-8018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY262494OtherNEW YORK LICENSE
NJ25MA09263500OtherNEW JERSEY LICENSE