Bay 29 Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002782 Issued in NY

Legal business name

BAY 29 MEDICAL PC

Practice address

174 Bay 29TH St
Brooklyn, NY 11214-5020

Phone

(718) 758-4520

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chitre Nitin Prabhakar, MD

Title

Owner

Phone

(718) 758-4520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1407080880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-758-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BAY 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145020",
            "telephone_number": "718-758-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY 29 MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "PRABHAKAR",
        "authorized_official_first_name": "CHITRE",
        "authorized_official_middle_name": "NITIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-758-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2002782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuraag Baxi, MD
• Brian David Baxley, P.A.
• Gary Baxter
• Shannon Baxter
• Traceyann R Baxter, N.P.
• Bay Chemists, LLC
• Bay Dental PC
• Bay Express Corp
• Bay Health Pharmacy Inc
• Bay L'S Medical Supply

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.