Active NPI
Bayside Laboratories
- Clinical Medical Laboratory
- Garden City, NY
National Provider Identifier
1245309111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 33D0149650
- Legal business name
- BAYSIDE LABORATORIES
- Practice address
- 595 Stewart Ave Ste 601
Garden City, NY 11530-4787 - Phone
- (917) 974-3020
- Fax
- (718) 224-7225
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bella Abrazi
- Title
- Ceo
- Phone
- (917) 974-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 33D0149650 | NY | Primary |
Addresses
Primary practice location
595 Stewart Ave Ste 601
Garden City, NY 11530-4787
Mailing address
595 Stewart Ave Ste 601
Garden City, NY 11530-4787
Phone (917) 974-3020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00996658 | Medicaid | NY | |
| 0030953 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080515000011 | NY | Part B Supplier - Independent Clinical Laboratory | 6305915471 | Practice locations: Bayside, NY |
National Provider Directory
National Provider DirectoryLocations
4557 Bell Blvd
Flushing, NY 11361
Phone (718) 229-8800
Practitioners & affiliated clinicians
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.
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1023313871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1245309111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 STEWART AVE STE 601",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304787",
"telephone_number": "917-974-3020",
"fax_number": "718-224-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 STEWART AVE STE 601",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304787",
"telephone_number": "917-974-3020",
"fax_number": "718-224-7225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSIDE LABORATORIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "ABRAZI",
"authorized_official_first_name": "BELLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-974-3020"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": "33D0149650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00996658",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030953",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.