Bay Ridge Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187344 Issued in NY

Legal business name

BAY RIDGE MEDICAL LLC

Practice address

539 Bay Ridge Pkwy
Brooklyn, NY 11209-3309

Phone

(718) 759-1950

Fax

(718) 759-1948

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor Charles Goldbetter, M.D.

Title

Executor

Phone

(718) 759-1950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1073892162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093309",
            "telephone_number": "718-759-1950",
            "fax_number": "718-759-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093309",
            "telephone_number": "718-759-1950",
            "fax_number": "718-759-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "GOLDBETTER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "718-759-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Medical Consultants PC
• Bay Ridge Medical Group, PLLC
• Bay Ridge Medical Imaging, P.C
• Bay Ridge Medical Imaging, PC
• Bay Ridge Medical Imaging, PC
• Bay Ridge Medical Services
• Bay Ridge Mental Health Services PLLC
• Bay Ridge Ophthalmology PLLC
• Bay Ridge Orthopedic Associates, PC
• Bay Ridge Pediatrics and Adolescents Office PC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.