Dr. Geronimo Banayat, MD
Internal Medicine in Clark, New Jersey
1376620500- Practice location
- 29 Broadway, Clark, NJ 07066-2557
- Phone
- 732-574-1887
- Fax
- —
- Last updated
- February 25, 2020
Geronimo Banayat is an Internal Medicine based in Clark, NJ. Geronimo Banayat practices in Clark, NJ and has the professional credentials of MD. The NPI Number for Geronimo Banayat is 1376620500 and holds a License No. MA51978 (NJ). The current practice location address for Geronimo Banayat is 29 Broadway, Clark, NJ 07066-2557 and can be reached out via phone at 732-574-1887.
Provider Profile Details
- NPI Number
- 1376620500
- Provider Name
- Geronimo Banayat
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 29 Broadway, Clark, NJ 07066-2557
- Phone Number
- 732-574-1887
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- February 25, 2020
- Certification Date
- February 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Broadway
Clark, NJ 07066-2557 - City
- Clark
- State
- New Jersey
- Zip
- 07066-2557
- Phone Number
- 732-574-1887
Provider Business Mailing Address Details
- Address
- 29 Broadway
Clark, NJ 07066-2557 - City
- Clark
- State
- NJ
- Zip
- 07066-2557
- Phone Number
- 732-574-1887
License Information
- License Number (1)
- MA51978
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine, Nephrology · 207RN0300X
- License Number (2)
- MA51978
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Clark, NJ
View all Internal Medicine providers in Clark →- Aman P.cInternal Medicine · NPI 1104844042
- Asha M Vijayakumar, MDInternal Medicine · NPI 1043389083
- Clayton E Leopold, MDInternal Medicine · NPI 1427151711
- David Kang, MDInternal Medicine · NPI 1659318285
- David Kang, MD, PCInternal Medicine · NPI 1679893432
- Dr. Karan S Kochhar, MDInternal Medicine · NPI 1285167536
Frequently Asked Questions
What is the NPI number of Dr. Geronimo Banayat, MD?
The NPI number of Dr. Geronimo Banayat, MD is 1376620500. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Geronimo Banayat, MD?
Dr. Geronimo Banayat, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA51978.
Where does Dr. Geronimo Banayat, MD practice?
The practice location is 29 Broadway, Clark, NJ 07066-2557. The office can be reached at 732-574-1887 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376620500 directly on the NPPES registry website.