DR. RENEE E BASKERVILLE MD
NPI 1376769372
Pediatrics - Adolescent Medicine in East Orange, NJ

Active since April 18, 2007
90 WASHINGTON ST, SUITE 209, EAST ORANGE, NJ 07017(973) 677-1551(973) 509-2658 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Renee E Baskerville Md NPPES

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

DR. RENEE E BASKERVILLE MD (NPI 1376769372) is an individual adolescent medicine provider in East Orange, New Jersey, licensed in New Jersey (MA50489) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1376769372
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. RENEE E BASKERVILLECredential: MD
Location Address90 WASHINGTON ST, SUITE 209East Orange, NJ 07017
Mailing AddressPo Box 141Montclair, NJ 07042 · (973) 677-1551 · Fax (973) 509-2658
Fax(973) 509-2658
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376769372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NJ · MA50489
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

90 WASHINGTON ST, East Orange, NJ 07017

Other Identifiers 1

Medicaid2016907NJ

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Psychiatry)
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Pharmacy (Long Term Care Pharmacy)
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Dentist (General Practice)
90 WASHINGTON ST, SUITE 209
EAST ORANGE, NJ 07017
Internal Medicine (Gastroenterology)
90 WASHINGTON ST, SUITE 213
EAST ORANGE, NJ 07017
Pharmacist
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Nurse Practitioner (Psychiatric/Mental Health)
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Pharmacy (Community/Retail Pharmacy)
90 WASHINGTON ST
EAST ORANGE, NJ 07017
Internal Medicine
90 WASHINGTON ST, SUITE 311
EAST ORANGE, NJ 07017

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 Renee Baskerville's NPI number?

The NPI number for Renee Baskerville is 1376769372. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Renee Baskerville located?

Renee Baskerville practices at 90 Washington St Suite 209, East Orange, NJ 07017. The listed phone number is (973) 677-1551.

What is Renee Baskerville's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Renee Baskerville was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.