BAYONNE MEDICAL CARE LLC
NPI 1437382231
Pediatrics in Avenel, NJ

Active since August 26, 2009CLIA 31D2086937 · Waiver
415 AVENEL ST, AVENEL, NJ 07001(732) 750-1180(732) 750-1182 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bayonne Medical Care Llc NPPES

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

BAYONNE MEDICAL CARE LLC (NPI 1437382231) is a healthcare organization registered as a pediatrics in Avenel, New Jersey and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Muhammad Siddique, President, as its authorized official.

NPPES Registry Identity

NPI1437382231
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAYONNE MEDICAL CARE LLC
Location Address415 AVENEL STAvenel, NJ 07001-1147
Mailing Address415 Avenel StAvenel, NJ 07001-1147 · (732) 750-1180 · Fax (732) 750-1182
Fax(732) 750-1182
Organization SubpartNo
Authorized OfficialMuhammad SiddiquePresident · (732) 750-1180
Enumeration DateAugust 26, 2009
Last NPPES UpdateJuly 24, 2012
✔ NPI 1437382231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA 67664
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
415 AVENEL ST, Avenel, NJ 07001

Other Identifiers 2

Medicare UPING82552NJ
Medicaid7797001NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bayonne Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bayonne Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1528203676
415 AVENEL ST
Avenel, NJ 07001
(732) 750-1180
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1497784920
415 AVENEL ST SUITE A
Avenel, NJ 07001
(732) 750-1180
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1700151701
924 BROADWAY
Bayonne, NJ 07002
(201) 823-4141
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2086937

Bayonne Medical Care, LLC · Avenel, NJ
Active · expires Nov 13, 2026
CLIA Number31D2086937
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorMuhammad Siddique
Laboratory Phone(732) 750-1180
Laboratory LocationBayonne Medical Care, LLC415 Avenel Street, Avenel, NJ 07001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bayonne Medical Care LLC's NPI number?

The NPI number for Bayonne Medical Care LLC is 1437382231. It was assigned to this organization in the NPPES registry on August 26, 2009.

Where is Bayonne Medical Care LLC located?

Bayonne Medical Care LLC is located at 415 Avenel St, Avenel, NJ 07001. The listed phone number is (732) 750-1180.

What is Bayonne Medical Care LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bayonne Medical Care LLC enrolled in Medicare?

Yes. Bayonne Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayonne Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bayonne Medical Care LLC, in Internal Medicine and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bayonne Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2086937) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayonne Medical Care LLC was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.