Organization Active NPI

Baisley Medical Services PC

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1114176864
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
198983 Issued in NY
Legal business name
BAISLEY MEDICAL SERVICES PC
Practice address
321 Pennsylvania Ave
Suite 1
Brooklyn, NY 11207-4101
Phone
(718) 484-8985
Fax
(718) 484-8986
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Cathy Delerme-Pagan, M.D.NPI 1891733713
Title
Attending Physician
Phone
(718) 484-8985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 198983 NY Primary

Addresses

Primary practice location

321 Pennsylvania Ave
Suite 1
Brooklyn, NY 11207-4101

Mailing address

20215 46TH Rd
Bayside, NY 11361-3059
Phone (646) 460-2959

Other identifiers 1

IdentifierTypeStateIssuer
02458597MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000032 NY Part B Supplier - Clinic/Group Practice 9830257492 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2039341Baisley Medical Services, PC321 Pennsylvania Avenue, Brooklyn, NY 11207Provider-performed microscopyApr 5, 2028

National Provider Directory

National Provider Directory

Locations

1650 Eastern Pkwy
Fl 3
Brooklyn, NY 11233
Phone (718) 484-8985

321 Pennsylvania Ave
Ste 1
Brooklyn, NY 11207
Phone (718) 484-8985

1650 Eastern Pkwy
#3
Brooklyn, NY 11233

321 Pennsylvania Ave
#3
Brooklyn, NY 11207

476 48th St
Brooklyn, NY 11220

Practitioners & affiliated clinicians

Practitioners 4

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1114176864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20215 46TH RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613059",
            "telephone_number": "646-460-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PENNSYLVANIA AVE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074101",
            "telephone_number": "718-484-8985",
            "fax_number": "718-484-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAISLEY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "DELERME-PAGAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "718-484-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "198983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458597",
            "state": "NY"
        }
    ],
    "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 Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.