Provider Demographics
NPI:1518068782
Name:BAYES, LORNA B (MD)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:B
Last Name:BAYES
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 1:236 E. WESTFIELD AVE.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2084
Mailing Address - Country:US
Mailing Address - Phone:908-243-3343
Mailing Address - Fax:908-245-3344
Practice Address - Street 1:236 E. WESTFIELD AVE.
Practice Address - Street 2:SUITE 6
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2084
Practice Address - Country:US
Practice Address - Phone:908-243-3343
Practice Address - Fax:908-245-3344
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA038113207R00000X
NJ25MA038113000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1755404Medicaid
454146Medicare PIN
NJ1755404Medicaid