Provider Demographics
NPI:1740250141
Name:BAI, FLORA (MD)
Entity type:Individual
Prefix:DR
First Name:FLORA
Middle Name:
Last Name:BAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FU
Other - Middle Name:
Other - Last Name:BAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:23 OAKCREST CT
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1162
Mailing Address - Country:US
Mailing Address - Phone:646-872-2900
Mailing Address - Fax:908-754-4901
Practice Address - Street 1:799 BLOOMFIELD AVENUE STE 212
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1001
Practice Address - Country:US
Practice Address - Phone:908-754-4900
Practice Address - Fax:908-754-4901
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA74252207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3447763OtherOXFORD
NJ0015890Medicaid
4177F2OtherWELLCHOICE
2590922OtherGHI
NJP00232095OtherRAIL ROAD MEDICARE
364227OtherAETNA
6519536003OtherCIGNA HMO
6519536001OtherCIGNA PPO
2K7102OtherHEALTHNET
2590922OtherGHI
NJ075667S7MMedicare PIN