Bath Beach Medical PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

111292 Issued in NY

Legal business name

BATH BEACH MEDICAL PC

Practice address

1551 Richmond Rd
Staten Island, NY 10304-2313

Phone

(718) 836-3333

Fax

(718) 836-3334

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chitoor S Govindaraj, MDNPI 1265560072

Title

Owner

Phone

(718) 836-3333

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12988/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Chitoor Govindaraj, MD

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1265560072
  NPD Authorized official

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1235413527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-836-3333",
            "fax_number": "718-836-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-836-3333",
            "fax_number": "718-836-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH BEACH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "GOVINDARAJ",
        "authorized_official_first_name": "CHITOOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-836-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "111292",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "111292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Nabil Bastawros, MD
• Angela Bastiani, M.S.P.T.
• Tayo Sia Batama, LPN
• Jennifer Lauria Bates, MS,ED
• Paige Bates, MD
• Susheel Bathla, DPM
• Brynn Alexi Batiancela
• Sanjiv Batra, M.D.
• Margaret Judith Batson
• Daniella Battaglia

• Pulmonary Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.