Provider Demographics
NPI:1912887951
Name:BAITINGER, TRACY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:BAITINGER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9473
Mailing Address - Country:US
Mailing Address - Phone:201-741-5192
Mailing Address - Fax:
Practice Address - Street 1:131 RIDGE DR
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9473
Practice Address - Country:US
Practice Address - Phone:201-741-5192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJA-3626060171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach