Individual provider Active NPI

Harun Bakla, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1437846979
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P121101 Issued in NY
Practice address
48 Cedar St
Brooklyn, NY 11221-3253
Phone
(184) 556-2007
NPI assigned
Apr 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P121101 NY Primary

Addresses

Primary practice location

48 Cedar St
Brooklyn, NY 11221-3253

Mailing address

600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846
Phone (845) 738-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510002834 NY Practitioner - Internal Medicine 9830555218 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Choice Medical PC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Ilm Medical Care PLLC Single Specialty CurrentSince Jul 6, 2024 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1437846979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846",
            "telephone_number": "845-738-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213253",
            "telephone_number": "184-556-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKLA",
        "first_name": "HARUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P121101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.