Nocera, Jina Bae

Nocera, Jina Bae is an individual health care provider with primary practice located at 154 Lafayette St , Palatine Bridge NY 13428-9715. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Nocera, Jina Bae can be contacted via phone (518) 673-5212.

Contact Information

Primary practice address
154 Lafayette St Palatine Bridge NY 13428-9715
Phone: (518) 673-5212
Fax: (518) 673-4337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 224602 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME110184 Florida

Profile Details

NPI number 1538105887
LBN Legal business name Nocera, Jina Bae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538105887 NPPES
Massachusetts MEDICAID 3205029
Massachusetts Other P00995221
Massachusetts MEDICAID 1013986
Massachusetts MEDICAID 02257876
Massachusetts Other P00371407

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