Provider Demographics
NPI:1417103789
Name:BAPTISTE, NICOLE B (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:B
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 NEWARK AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2305
Mailing Address - Country:US
Mailing Address - Phone:609-277-1612
Mailing Address - Fax:
Practice Address - Street 1:665 NEWARK AVE
Practice Address - Street 2:STE 303
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2305
Practice Address - Country:US
Practice Address - Phone:609-277-1612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08460200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology