Active NPI
Pamela Frayna Baga
- Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1194240507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 308356
- Practice address
- 1645 E 19TH St
Brooklyn, NY 11229-1311 - Phone
- (718) 265-5858
- NPI assigned
- Aug 7, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 308356 | NY | Primary |
Addresses
Primary practice location
1645 E 19TH St
Brooklyn, NY 11229-1311
Mailing address
1645 E 19TH St
Brooklyn, NY 11229-1311
Other practice location 1
951 Brook Ave Ste 202
Bronx, NY 10451-4209
Phone (718) 993-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308356 | Other | NY | NEW YORK STATE REGISTERED NURSE PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194240507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 E 19TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 E 19TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291311",
"telephone_number": "718-265-5858"
}
],
"practiceLocations": [
{
"address_1": "951 Brook Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104514209",
"country_code": "US",
"telephone_number": "718-993-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGA",
"first_name": "PAMELA",
"middle_name": "FRAYNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "308356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE REGISTERED NURSE PRACTITIONER LICENSE",
"identifier": "308356",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.