Organization Active NPI

Blue Sky Medical Services PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1316781842
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BLUE SKY MEDICAL SERVICES PC
Practice address
1888 Westchester Ave
Bronx, NY 10472-3000
Phone
(646) 301-4812
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Ataul Chowdury, MD
Title
Owner
Phone
(646) 301-4812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1888 Westchester Ave
Bronx, NY 10472-3000

Mailing address

1888 Westchester Ave
Bronx, NY 10472-3000
Phone (646) 301-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011001520 NY Part B Supplier - Clinic/Group Practice 0749712073 Receives reassigned benefits from 5 practitioners
Practice locations: Babylon, NY; Bronx, NY; Franklin Square, NY; Great Neck, NY

National Provider Directory

National Provider Directory

Locations

1150 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-4252

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1316781842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723000",
            "telephone_number": "646-301-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723000",
            "telephone_number": "646-301-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "CHOWDURY",
        "authorized_official_first_name": "ATAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-301-4812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.

Verify at the official NPI Registry.