Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Bautista, MD

Individual provider Emergency Medicine Physician · NPI 1053849620

Daniel Bautista, MD is an Emergency Medicine in Hackensack, New Jersey. Graduated from Tulane University School of Medicine in 2017, 9 years ago. Practices with Barron Emergency Physicians LLC, a 102-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Trained at
Tulane University School of Medicine
Licensed in
NJ
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA10795100 (NJ)

Record details

NPI number1053849620
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2017
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Barron Emergency Physicians Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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