Provider Demographics
NPI:1902974447
Name:BAUMSTEIN, DONALD IRVING (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:IRVING
Last Name:BAUMSTEIN
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 1:174 ELM ST
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-3039
Mailing Address - Country:US
Mailing Address - Phone:201-894-5388
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:ROOM 14-A-3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6401
Practice Address - Fax:212-423-7923
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160325207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01037338Medicaid
NY160325OtherSTATE LISCENCE
NYDB1579309OtherDEA NUMBER
NY160325OtherSTATE LISCENCE
NYF64425Medicare UPIN