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JUSTIN PETER BAPTIST M.D.
NPI 1982095758
Hospitalist in Atlantic City, NJ

Active since February 13, 2015PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-4000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Aug 9, 2017 (2 updates tracked since 2017).

About Justin Peter Baptist M.d. NPPES

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

JUSTIN PETER BAPTIST M.D. (NPI 1982095758) is an individual hospitalist provider in Atlantic City, New Jersey, licensed in New Jersey (25MA09661700) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1982095758
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUSTIN PETER BAPTISTCredential: M.D.
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address2500 English Creek Ave, Bldg 600 Suite 602Egg Harbor Twp, NJ 08234-5549 · (609) 407-2358
Phone(609) 345-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 13, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1982095758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09661700
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09661700 (NJ)
1925 PACIFIC AVE, Atlantic City, NJ 08401
Open in Google Maps ↗

Secondary Practice Location 1

Location 122 Dellmead DrLivingston, NJ 07039-5002 · Phone (973) 941-4475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Peter Baptist M.d. 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 ID9133437114
PECOS Enrollment IDI20150925000273
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Baptist reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Health Services, Inc.
0.2 mi
Federally Qualified Health Center (FQHC)
7 S OHIO AVE STE 2100
Atlantic City, NJ 08401
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1407574635 (609) 572-8800
Atlanticare Physician Group, PA
10 mi
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1003820622 (609) 748-2100
Coastal Infectious Disease Consultants, LLC
14 mi
Infectious Disease
5548 ASBURY AVE
Ocean City, NJ 08226
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1023328945 (609) 442-8236

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,721 services599 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,157 services882 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
1,087 services969 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

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 Justin Baptist's NPI number?

The NPI number for Justin Baptist is 1982095758. It was assigned to this individual provider in the NPPES registry on February 13, 2015.

Where is Justin Baptist located?

Justin Baptist practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-4000.

What is Justin Baptist's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Justin Baptist enrolled in Medicare?

Yes. Justin Baptist 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.

Which organizations bill Medicare for Justin Baptist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Baptist reassigns Medicare benefits to 3 organizations: Atlanticare Health Services, Inc. (Atlantic City, NJ), Atlanticare Physician Group, PA (Galloway, NJ) and Coastal Infectious Disease Consultants, LLC (Ocean City, NJ). Each 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 Justin Baptist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Baptist accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Justin Baptist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Baptist affiliated with any hospitals?

According to CMS data, Justin Baptist is affiliated with Atlanticare Regional Medical Center - City Campus, Jersey Shore University Medical Center, Jfk Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Baptist was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.