Provider Demographics
NPI:1669438388
Name:BAYDAR, GARBIS GARY (MD)
Entity type:Individual
Prefix:DR
First Name:GARBIS
Middle Name:GARY
Last Name:BAYDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 GRAND AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-568-3262
Mailing Address - Fax:201-569-2634
Practice Address - Street 1:370 GRAND AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-568-3262
Practice Address - Fax:201-569-2634
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA049093002080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0630608Medicaid
BP177OtherOXFORD INSURANCE
BP177OtherOXFORD INSURANCE