AVITAL BAUMAN
NPI 1093109530
Pediatrics - Pediatric Emergency Medicine in Hackensack, NJ

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, HACKENSACK, NJ 07601(732) 807-0800 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avital Bauman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVITAL BAUMAN (NPI 1093109530) is an individual pediatric emergency medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA11599800) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093109530
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameAVITAL BAUMAN
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing AddressPo Box 9500-8303Philadelphia, PA 19195-0001 · (551) 996-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 23, 2015
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1093109530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NJ · 25MA11599800
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 25MA11599800 (NJ)
30 PROSPECT AVE, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Avital Bauman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850642190
PECOS Enrollment IDI20230303000059
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avital Bauman's NPI number?

The NPI number for Avital Bauman is 1093109530. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Avital Bauman located?

Avital Bauman practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (732) 807-0800.

What is Avital Bauman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Avital Bauman enrolled in Medicare?

Yes. Avital Bauman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Avital Bauman was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.