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AMELIA B BAUTISTA
NPI 1760460703
Pediatrics - Neonatal-Perinatal Medicine in Camden, NJ

Active since January 09, 2006PECOS Enrolled
1600 HADDON AVE, ICN, CAMDEN, NJ 08103(856) 757-3988 Get Directions Write a Review

NPPES record last updated: June 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amelia B Bautista NPPES

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

AMELIA B BAUTISTA (NPI 1760460703) is an individual neonatal-perinatal medicine provider in Camden, New Jersey, licensed in New Jersey (25MA04033000) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760460703
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameAMELIA B BAUTISTA
Location Address1600 HADDON AVE, ICNCamden, NJ 08103-3101
Mailing Address500 Grove St, Suite 100Haddon Heights, NJ 08035-1761 · (856) 796-9200 · Fax (856) 796-9397
Phone(856) 757-3988
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJune 30, 2012
✔ NPI 1760460703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA04033000
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1600 HADDON AVE, Camden, NJ 08103
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Other Identifiers 4

Medicare PIN190883CY4NJ
Medicaid3987001NJ
Medicare UPIND19934
Medicare PIN048361NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia B Bautista is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MRS. HEATHER LYNN WILLIAMS
Registered Nurse
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 541-8710
OUR LADY OF LOURDES MEDICAL CENTER
Internal Medicine
1600 HADDON AVE, INTERNAL MEDICINE
CAMDEN, NJ 08103
Camden County (856) 757-3500
SUSHNI MUKKAMALLA MD
Student in an Organized Health Care Education/Training Program
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
AMBER KLEIN APN-A CRNA
Nurse Anesthetist, Certified Registered
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
MR. ROBERT RUGGERO R.PH.
Pharmacist
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 580-6331
JACQUELINE VERBARO
Physician Assistant
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (865) 757-3500
SHUBHAM GUPTA
Student in an Organized Health Care Education/Training Program
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
BRENDAN FITZPATRICK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (610) 459-3113

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 Amelia Bautista's NPI number?

The NPI number for Amelia Bautista is 1760460703. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Amelia Bautista located?

Amelia Bautista practices at 1600 Haddon Ave Icn, Camden, NJ 08103. The listed phone number is (856) 757-3988.

What is Amelia Bautista's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Amelia Bautista enrolled in Medicare?

Yes. Amelia Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amelia Bautista was last updated on June 30, 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.