Active NPI
Philippe K. Z. Bah, NP
- Psychiatric/Mental Health Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402071-1
- Practice address
- 2700 Hering Ave
Bronx, NY 10469-5321 - Phone
- (718) 231-2461
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402071-1 | NY | Primary |
Addresses
Primary practice location
2700 Hering Ave
Bronx, NY 10469-5321
Mailing address
2700 Hering Ave
Bronx, NY 10469-5321
Phone (718) 231-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3060 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 239-1790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402071-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Knapp Street Psychiatry, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
111 E 210th St
Bronx, NY 10467
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- philippe.bah.p1@direct.premierhealthcare.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
Psychiatric/Mental Health
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
Psychiatric/Mental Health
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1174071740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HERING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695321",
"telephone_number": "718-231-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HERING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695321",
"telephone_number": "718-231-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAH",
"first_name": "PHILIPPE",
"middle_name": "K. Z.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402071-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.