NPIMap

Organization Active NPI

Brooklyn Bridge Medical Associates. PLLC.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1104079722
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
243540-1 Issued in NY
Legal business name
BROOKLYN BRIDGE MEDICAL ASSOCIATES. PLLC.
Practice address
3632 Nostrand Ave
Brooklyn, NY 11229-5303
Phone
(201) 857-4011
NPI assigned
Oct 28, 2008
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Humaira Zafar, M.D.NPI 1649349390
Title
Director
Phone
(201) 857-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 243540-1 NY Primary

Addresses

Primary practice location

3632 Nostrand Ave
Brooklyn, NY 11229-5303

Mailing address

PO Box 29083
New York, NY 10087-9083
Phone (201) 857-4011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1104079722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29083",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879083",
            "telephone_number": "201-857-4011",
            "fax_number": "201-389-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295303",
            "telephone_number": "201-857-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN BRIDGE MEDICAL ASSOCIATES. PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-857-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "243540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.