Bayville Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAYVILLE HEALTHCARE LLC

Doing business as

crystal lake healthcare

Practice address

14C 53Rd St
Brooklyn, NY 11232-2644

Phone

(718) 567-0400

NPI assigned

Oct 21, 2013

Last updated

Jul 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chavie Katz

Title

Billing Manager

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other names 1

• crystal lake healthcare Doing business as

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.

• Joshua R Shua-Haim, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Manchester, NJ
  • NPI 1073554879
  NPD (past)

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1336577808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 LAKESIDE BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "718-567-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVILLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CHAVIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crystal lake healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilya Baytalsky, R.PH.
• Bayview Chiropractic PC
• Bayview Neurology PC
• Bayview Optical
• Bayview Podiatry PC
• Vijaya Jyothshna Bayya, M.D
• Alexa Baz, LMSW
• Justin Bazan, OD
• Lud Bazar
• Tatyana Bazarova, PHARMD

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.