Active NPI
Biotia, Inc.
- Clinical Medical Laboratory
- Brooklyn, NY
National Provider Identifier
1265060289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BIOTIA, INC.
- Practice address
- 140 58TH St.
Building a Suite 8J
Brooklyn, NY 11220-1122 - Phone
- (724) 970-4879
- NPI assigned
- Mar 27, 2020
- Last updated
- Jun 30, 2021
- 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
- Niamh B O'Hara, PHD
- Title
- Ceo and Co-Founder
- Phone
- (845) 405-6461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
140 58TH St.
Building a Suite 8J
Brooklyn, NY 11220-1122
Mailing address
140 58TH St. Building a
Suite 8J
Brooklyn, NY 11220-2539
Phone (724) 970-4879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200817001700 | NY | Part B Supplier - Independent Clinical Laboratory | 4981020302 | Practice locations: Long Island City, NY |
National Provider Directory
National Provider DirectoryLocations
140 58th St
Brooklyn, NY 11220
Phone (212) 920-4500
140 58th St
Ste 8J
Brooklyn, NY 11220
Phone (724) 970-4879
100 Avenue of the Americas
Fl 16
New York, NY 10013
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.
-
- Clinical Laboratory Director (Non-physician)
- Brooklyn, NY
- NPI 1922678861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1265060289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 58TH ST. BUILDING A",
"address_2": "SUITE 8J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202539",
"telephone_number": "724-970-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 58TH ST.",
"address_2": "BUILDING A SUITE 8J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201122",
"telephone_number": "724-970-4879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOTIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-27",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "O'HARA",
"authorized_official_first_name": "NIAMH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO AND CO-FOUNDER",
"authorized_official_telephone_number": "845-405-6461",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 30, 2021; 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.