Solomon Badrian, P.A.
Individual provider Active NPI Physician Assistant · Brooklyn, NY
NPI 1013239490 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1013239490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 013841 (NY)
- Practice address
- 150 55TH St
Emergency Department
Brooklyn, NY 11220-2559 - Phone
- (718) 240-5180
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100821000007 | NY | Practitioner - Physician Assistant | 6002940327 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Pediatric Associates, PLLC | Past | Accepting new patients | |
| Precious Health of Lakewood, PC | Past | Accepting new patients | |
| Premium Health Inc | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDDIAD/Endpoint/DDDIAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013841 | NY | Yes |
Addresses
Primary practice location
150 55TH St
Emergency Department
Brooklyn, NY 11220-2559
Mailing address
150 55TH St
Emergency Department
Brooklyn, NY 11220-2559
Phone (718) 630-7125
NPI Registry JSON
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1013239490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 55TH ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202559",
"telephone_number": "718-630-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202559",
"telephone_number": "718-240-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADRIAN",
"first_name": "SOLOMON",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-25",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
- Dolgan Badmaev
- Baldzhir Badmaeva
- Kishtia Badmaeva
- Fatmaelzahraa Badr
- Yasmin Badran
- Liudmila Badrunova
- Susan Lee Bady
- Alina Badzilouskaya
- Yaw Bae-Tuffour
- Jin Young Bae
All providers in Brooklyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.