Provider Demographics
NPI:1295176154
Name:BAI, LAURA (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BAI
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:STARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:149 EMERSON LN
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2411
Mailing Address - Country:US
Mailing Address - Phone:908-963-2547
Mailing Address - Fax:
Practice Address - Street 1:149 EMERSON LN
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2411
Practice Address - Country:US
Practice Address - Phone:908-963-2547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR26810300163W00000X
NY634960163WE0003X
NY338504363LF0000X
NJ26NJ15362100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WE0003XNursing Service ProvidersRegistered NurseEmergency