DR. WALTER MICHAEL BAKUN (NPI# 1093812539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093812539 |
| Entity Type | Individual |
| Full Name | DR. WALTER MICHAEL BAKUN |
| Other Name | DR. WALTER MICHAEL BAKUN |
| Credential | MD |
| Practice Address |
59 Koch Ave Morris Plains NJ 07950-4400 |
| Practice Telephone | 9735391800 |
| Practice Fax Number | 9738898789 |
| Mailing Telephone | 9735381800 |
| Mailing Fax Number | 9738898789 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2009-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MA45488 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
59 KOCH AVE |
| City | MORRIS PLAINS |
| State | NJ |
| Zip Code | 07950-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161850 | Justin B. Wilson | Internal Medicine | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-02-03 |
| 1811509441 | Adenike Esther Ola | Registered Nurse | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2020-08-17 |
| 1457897977 | Miliodaire Alphonse | Nurse Practitioner | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2017-01-07 |
| 1841734944 | Angela Anukam | Nurse Practitioner | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2016-12-07 |
| 1275904351 | Greystone Park Psychiatric Hospital | Psychiatric Hospital | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2015-10-14 |
| 1134508385 | Partners Pharmacy LLC | Pharmacy | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2015-05-20 |
| 1194160473 | Greystone Park Psychiatric Hospital | Psychiatric Hospital | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2013-05-01 |
| 1497019053 | Paul Kovalski II | Dentist | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2012-06-28 |
| 1306104518 | Ijeoma Jennifer Hassan | Psychiatry & Neurology | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2012-04-25 |
| 1861796070 | Rudresh G Bhatt | Dentist | 59 Koch Ave, Greystone Park Hospital, Dental Clinic, Morris Plains, NJ 07950 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1588037931 | Rakky Isaac | Social Worker | 999 Tabor Rd Ste 1, Morris Plains, NJ 07950 | 2015-11-06 |
| 1326459124 | Gabrielle Gargano | Social Worker | 4 Ellen Street, Morris Plains, NJ 07950 | 2014-05-14 |
| 1851737571 | Daniel Cruz | Counselor | 1 Crestview Court East, Morris Plains, NJ 07950 | 2013-05-21 |
| 1962747600 | Procore Physical Therapy | Clinic/Center | 2651 Route 10 East, Morris Plains, NJ 07950 | 2012-12-06 |
| 1518257815 | Elizabeth K. Albarran | Behavioral Analyst | 81 Fairchild Avenue, Morris Plains, NJ 07950 | 2011-04-08 |
| 1114240637 | Judith Gisser | Nutritionist | 639 State Highway Number 53, Morris Plains, NJ 07950 | 2010-03-11 |
| 1386971026 | Synergy Anesthesia LLC | Anesthesiology | 2740 Route 10 Ste 104, Morris Plains, NJ 07950 | 2009-11-16 |
| 1982836268 | Sunrise Morris Plains Assisted Living LLC | Assisted Living Facility | 209 Littleton Rd., Morris Plains, NJ 07950 | 2009-08-20 |
| 1972759116 | Medardo M Yap | Surgery | 6 Southwood Drive, Morris Plains, NJ 07950 | 2008-08-07 |
| Find all providers in zip 07950 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819719 | Diamond Medical Nj | Neuromusculoskeletal Medicine, Sports Medicine | 35 Journal Sq Ste 915, Jersey City, NJ 07306-4007 | 2020-07-28 |
| 1891257093 | Morristown Intraoperative Monitoring, P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 310 Madison Ave Ste 300, Morristown, NJ 07960-6967 | 2019-04-05 |
| 1033696703 | Ld Recovery Solutions, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 521 Fellowship Rd Ste 155, Mount Laurel, NJ 08054-3442 | 2018-07-25 |
| 1295246510 | Faith Essence Smash | Neuromusculoskeletal Medicine, Sports Medicine | 169 Paris Ave, Northvale, NJ 07647-2028 | 2017-10-12 |
| 1801927041 | Jersey City Center for Othopaedic Injuries LLC | Neuromusculoskeletal Medicine, Sports Medicine | 35 Journal Sq, Jersey City, NJ 07306-4011 | 2007-03-08 |
| 1336248293 | Steven L. Nehmer | Neuromusculoskeletal Medicine, Sports Medicine | 2121 Morris Ave, Union, NJ 07083-6002 | 2006-09-21 |
| 1043233588 | Jimmy Kim | Neuromusculoskeletal Medicine, Sports Medicine | 300 Winston Dr Apt 217, Cliffside Park, NJ 07010-3210 | 2006-07-25 |
| 1841210614 | Thomas Wagner Findley Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 3 Royal Ave, Suite 4, Livingston, NJ 07039 | 2006-07-21 |
| 1427099985 | Monica Mehta | Neuromusculoskeletal Medicine, Sports Medicine | 191 Palisade Ave, Jersey City, NJ 07306-1133 | 2006-06-08 |
| 1710931498 | Sukhjender S Goraya | Neuromusculoskeletal Medicine, Sports Medicine | 606 Roosevelt Ave, Carteret, NJ 07008-2935 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | MORRIS PLAINS |
| Zip Code | 07950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.