Provider Demographics
NPI:1568686673
Name:BAUMAN, JAMES C (CO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PIERSON AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3139
Mailing Address - Country:US
Mailing Address - Phone:732-549-3343
Mailing Address - Fax:732-549-6555
Practice Address - Street 1:209 PIERSON AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3139
Practice Address - Country:US
Practice Address - Phone:732-549-3343
Practice Address - Fax:732-549-6555
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45OR00008400222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223096786OtherAETNA
NJ223096786OtherOXFORD HEALTH PLANS
NJ36469OtherANTHEM
NJ7017291OtherCIGNA
NJA-52767OtherMULTIPLAN
NJ15200OtherUNIVERSITY HEALTH PLANS
NJ223096786OtherPRUDENTIAL
NJ43669OtherAMERIGROUP
NJ223096786AOtherHORIZON BCBS
NJ2K5581OtherHEALTHNET
NJ01000611600OtherAMERICHOICE
NJ0559903Medicaid
NJ1110724OtherHORIZON NJ HEALTH
NJ1491OtherMASTERCARE
NJA-52767OtherMULTIPLAN