Organization Active NPI

Bay Parkway Physicians, PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1467515767
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAY PARKWAY PHYSICIANS, PC
Practice address
6417 Bay Pkwy
Brooklyn, NY 11204-3930
Phone
(718) 234-6767
Fax
(718) 234-0994
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Michael PatinNPI 1467591792
Title
Medical Director
Phone
(718) 234-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6417 Bay Pkwy
Brooklyn, NY 11204-3930

Mailing address

6417 Bay Pkwy
Brooklyn, NY 11204-3930
Phone (718) 234-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000069 NY Part B Supplier - Clinic/Group Practice 0345131017 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1467515767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-234-6767",
            "fax_number": "718-234-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-234-6767",
            "fax_number": "718-234-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PARKWAY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PATIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-234-6767"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.