Individual provider Active NPI

Philippe K. Z. Bah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1174071740
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402071-1 Issued in NY
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

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108002223 NY Practitioner - Nurse Practitioner 7113206590 Reassigns benefits to 5 organizations

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
Premier Healthcare IncGroup PAC ID 1254233158, 58 clinicians

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

LicenseStateTypeSpecialty
F402071-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. Current Accepting new patients
Knapp Street Psychiatry, PC Psychiatric/Mental Health CurrentSince Apr 8, 2024 Accepting new patients
Che Senior Psychological Services, PC Psychiatric/Mental Health CurrentSince Apr 8, 2024 Accepting new patients
Montefiore Medical Center CurrentSince May 10, 2019 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Harlem Medical Associates PC CurrentSince Nov 28, 2016 Accepting new patients
Montefiore Medical Center CurrentSince May 10, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.