Organization Active NPI

Bedford Medical Family Health Center, Inc.

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1407866767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
BEDFORD MEDICAL FAMILY HEALTH CENTER, INC.
Practice address
100 Ross St
Brooklyn, NY 11211-7672
Phone
(718) 387-7628
Fax
(718) 387-0780
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Ruzohorsky
Title
Medical Director
Phone
(718) 387-7628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

100 Ross St
Brooklyn, NY 11211-7672

Mailing address

100 Ross St
Brooklyn, NY 11211-7672
Phone (718) 387-7628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407866767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117672",
            "telephone_number": "718-387-7628",
            "fax_number": "718-387-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117672",
            "telephone_number": "718-387-7628",
            "fax_number": "718-387-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD MEDICAL FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUZOHORSKY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-387-7628",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.