NPIMap

Organization Active NPI

Bay Ridge Urology Associates

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1255388484
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
141513 Issued in NY
Legal business name
BAY RIDGE UROLOGY ASSOCIATES
Practice address
1310 84TH St
Brooklyn, NY 11228-3000
Phone
(718) 837-5100
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Robert Calciano
Title
Partner
Phone
(718) 837-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 141513 NY Primary

Addresses

Primary practice location

1310 84TH St
Brooklyn, NY 11228-3000

Mailing address

1310 84TH St
Brooklyn, NY 11228-3000

Other identifiers 1

IdentifierTypeStateIssuer
01490853MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1255388484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283000",
            "telephone_number": "718-837-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CALCIANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-837-5100"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "141513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01490853",
            "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 Apr 10, 2008; 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.