Charles J. Bacall MD, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

129470 Issued in NY

Legal business name

CHARLES J. BACALL MD, PC

Practice address

1126 Park Ave
New York, NY 10128-1203

Phone

(212) 289-4500

Fax

(212) 289-6793

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Charles J Bacall, MD

Title

President

Phone

(212) 289-4500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1306259304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281203",
            "telephone_number": "212-289-4500",
            "fax_number": "212-289-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281203",
            "telephone_number": "212-289-4500",
            "fax_number": "212-289-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. BACALL MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "BACALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-289-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "129470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.