BAYFRONT MEDICAL ASSOCIATES, LLC
NPI 1508168709
Family Medicine in Jersey City, NJ

Q: What is Bayfront Medical Associates, LLC's NPI number?

The NPI number for Bayfront Medical Associates, LLC is 1508168709. It was assigned to this organization in the NPPES registry on November 22, 2010.

Q: What is Bayfront Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 22, 2010CLIA Certified · 2 labs

1809 JOHN F KENNEDY BLVD, GROUND FLOOR, JERSEY CITY, NJ 07305(201) 763-6664(201) 763-6840 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bayfront Medical Associates, Llc NPPES

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

BAYFRONT MEDICAL ASSOCIATES, LLC (NPI 1508168709) is a healthcare organization registered as a family medicine in Jersey City, New Jersey and active in the NPI registry since November 2010. The organization holds 2 active CLIA laboratory certificates and lists Dilruba Khanam, Family Medicine Physician, as its authorized official.

NPPES Registry Identity

NPI1508168709

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAYFRONT MEDICAL ASSOCIATES, LLC

Location Address1809 JOHN F KENNEDY BLVD, GROUND FLOORJersey City, NJ 07305-2184

Mailing Address1809 John F Kennedy Boulevard, Ground FloorJersey City, NJ 07305-2184 · (201) 763-6664 · Fax (201) 763-6840

Phone(201) 763-6664

Fax(201) 763-6840

Organization SubpartNo

Authorized OfficialDilruba KhanamFamily Medicine Physician · (201) 763-6664

Enumeration DateNovember 22, 2010

✔ NPI 1508168709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · MA07937600

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1809 JOHN F KENNEDY BLVD, Jersey City, NJ 07305

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bayfront Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dilruba Khanam, M.D.

Family Practice

NPI 1548337322

1809 JOHN F. KENNEDY BLVD. GROUND FLOOR
Jersey City, NJ 07305

(201) 763-6664

✔ PECOS✔ Accepts MedicareSame address

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 2

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 31D2168709

Bayfront Medical · Hackensack, NJ

Active · expires Jul 7, 2027

CLIA Number31D2168709

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2025

Certificate Expiration DateJuly 7, 2027

Laboratory DirectorSm Golam Kibrea

Laboratory Phone(201) 763-6664

Laboratory LocationBayfront Medical170 Prospect Ave, Suite # 6, Hackensack, NJ 07601

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2167445

Bayfront Medical · Hackensack, NJ

Active · expires Jun 6, 2027

CLIA Number31D2167445

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2025

Certificate Expiration DateJune 6, 2027

Laboratory DirectorSm Golam Kibrea

Laboratory Phone(201) 763-6664

Laboratory LocationBayfront Medical170 Prospect Avenue, Suite #6, Hackensack, NJ 07601

CLIA data matches this NPI record on: 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 Bayfront Medical Associates, LLC's NPI number?

The NPI number for Bayfront Medical Associates, LLC is 1508168709. It was assigned to this organization in the NPPES registry on November 22, 2010.

Where is Bayfront Medical Associates, LLC located?

Bayfront Medical Associates, LLC is located at 1809 John F Kennedy Blvd Ground Floor, Jersey City, NJ 07305. The listed phone number is (201) 763-6664.

What is Bayfront Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bayfront Medical Associates, LLC enrolled in Medicare?

Yes. Bayfront Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bayfront Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bayfront Medical Associates, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bayfront Medical Associates, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bayfront Medical Associates, LLC was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.