EDUARDO R. BAUTISTA MD – NPI #1265405880
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

EDUARDO BAUTISTA is a physician located in NEPTUNE CITY, NJ. NPPES has assigned the NPI number 1265405880 to EDUARDO BAUTISTA on February 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

The NPI profile was previously updated about 7 years ago on Nov 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDUARDO BAUTISTA below.

NPI Profile for
EDUARDO R. BAUTISTA

NPI Number
1265405880
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDUARDO R. BAUTISTA
Credentials
MD
Primary location
19 DAVIS AVE FL 7
NEPTUNE CITY, NJ 07753-4488
Phone: (732) 776-4524 Fax: (732) 776-4639
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for EDUARDO BAUTISTA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ7856506
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)
NJ 25MA06285400
174400000X
- Specialist
NJ MA062854

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.