NICHOLAS G BARANETSKY (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1093808164

NICHOLAS G BARANETSKY (MD) is a healthcare provider. based in Newark, New Jersey. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA046790 (NJ). The NPI Number for NICHOLAS G BARANETSKY (MD) is 1093808164

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS G BARANETSKY (MD)
NPI
1093808164
Phone
(973) 877-5185
Address
111 CENTRAL AVE
Enumeration Date
2 October 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9738775300
Graduation Year
1974 (52 years ago)
PAC ID
6800812330
Group Practice PAC ID
7214258003
Professional Enrollment ID
I20051024000343
Address ID
NJ071021909NE111XXAVEX300

Contacts

Secure Messaging
ngbmd@direct.practicefusion.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

425 ENDOCRINOLOGY in NJ

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Provider Addresses for NICHOLAS G BARANETSKY (MD)

  • Saint Michael's Medical Center, 111, Central Avenue, Newark, Essex County, New Jersey, 07102, United States

    NEWARK, NJ 07102

    Phone: (973) 877-5185

    Fax: (973) 877-5210

    Type: Location

  • PO BOX 298

    LIVINGSTON, NJ 07039

    Phone: (973) 877-5185

    Fax: (973) 877-5210

    Type: Mailing

  • 268 DR MARTIN LUTHER KING JR BLVD STE B

    NEWARK, NJ 071022011

    Phone: (973) 877-5185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Novo Nordisk Inc ($46).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051024000343IEndocrinologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes160102$0
99213Established patient office or other outpatient visit, 20-29 minutes9673$0
99441Telephone medical discussion with physician, 5-10 minutes2217$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 07102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214258003View full group profile
NameSpecialtyState
Internal Medicine, HospitalistNJ
Infectious Disease, Internal MedicineNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
Radiation OncologyFL
Pulmonary Disease, Critical Care (Intensivists)NJ
Internal Medicine, Pulmonary DiseaseNJ
-NJ
Internal MedicinePA
Cardiovascular Disease (Cardiology)NJ
Surgical OncologyNJ

Reviews

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Frequently asked questions

What NPI should I save for NICHOLAS G BARANETSKY (MD)?
Save NPI 1093808164 if you need a stable reference for NICHOLAS G BARANETSKY (MD).
Is NICHOLAS G BARANETSKY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NICHOLAS G BARANETSKY (MD)?
The page reflects Endocrinology, Diabetes & Metabolism Physician for NICHOLAS G BARANETSKY (MD). Clinical services aligned with this taxonomy classification.
Does NICHOLAS G BARANETSKY (MD) practice in New Jersey?
You will see Newark, New Jersey on file for NICHOLAS G BARANETSKY (MD) alongside any extra practice locations.
How can I contact NICHOLAS G BARANETSKY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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