NPIMap

Organization Active NPI

Bay Ridge Medical Consultants PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1346542081
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
118172 Issued in NY
Legal business name
BAY RIDGE MEDICAL CONSULTANTS PC
Practice address
420 77TH St
Brooklyn, NY 11209-3206
Phone
(718) 748-3838
Fax
(718) 748-3850
NPI assigned
Dec 1, 2010
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Joseph J Tricarico, M.D.NPI 1043316342
Title
President
Phone
(718) 748-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 118172 NY Primary

Addresses

Primary practice location

420 77TH St
Brooklyn, NY 11209-3206

Mailing address

420 77TH St
Brooklyn, NY 11209-3206
Phone (718) 748-3838

Other identifiers 8

IdentifierTypeStateIssuer
694611OtherNYBLUE CROSS BLUE SHEILD
01637943MedicaidNY
IPO426OtherNYCIGNA
160485OtherNYELDERPLAN
83493AFOtherNYGHI
042584OtherNYAETNA HMO
0T230POtherNYHIP HMO
P1596974OtherNYOXFORDPLAN

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1346542081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093206",
            "telephone_number": "718-748-3838",
            "fax_number": "718-748-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093206",
            "telephone_number": "718-748-3838",
            "fax_number": "718-748-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE MEDICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "TRICARICO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-748-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "118172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "694611",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01637943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "IPO426",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "160485",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "83493AF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "042584",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HMO",
            "identifier": "0T230P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORDPLAN",
            "identifier": "P1596974",
            "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 Jan 30, 2013; 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.