Bimc Faculty Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BIMC FACULTY PRACTICE

Doing business as

Community Primary Care

Practice address

1825 Park Ave
New York, NY 10035-1641

Phone

(212) 774-3254

NPI assigned

Apr 6, 2011

Last updated

Apr 6, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Hackett

Title

VP

Phone

(212) 256-3424

Specialties & licenses 4

Addresses

Other names 1

• COMMUNITY PRIMARY CARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1033408414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-774-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351641",
            "telephone_number": "212-774-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIMC FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "212-256-3424"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Bilsbury, MD
• Amanda Bilski
• Mark H Bilsky, MD
• Bimc Cancer Center Surgery at Bi
• Bimc Dept of Nephrology
• Bimc Faculty Practice
• Bimc Faculty Practice
• Bimc Faculty Practice
• Bimc Faculty Practice
• Bimc Faculty Practice

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.