Organization Active NPI

Canarsie Medical Care P.C. D.B.a Baldwin Medical

  • Internal Medicine Physician
  • North Baldwin, NY
National Provider Identifier
1477673424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CANARSIE MEDICAL CARE P.C. D.B.A BALDWIN MEDICAL
Practice address
1885 Grand Ave
North Baldwin, NY 11510-2453
Phone
(516) 623-2277
Fax
(516) 623-2525
NPI assigned
Mar 30, 2007
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
Sylvia Park
Title
Manager
Phone
(516) 623-2277

Specialties & licenses 1

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

Addresses

Primary practice location

1885 Grand Ave
North Baldwin, NY 11510-2453

Mailing address

1885 Grand Ave
North Baldwin, NY 11510-2453
Phone (516) 623-2277

National Provider Directory

National Provider Directory

Locations

1885 Grand Ave
North Baldwin, NY 11510
Phone (516) 623-2277

Practitioners & affiliated clinicians

Practitioners 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477673424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102453",
            "telephone_number": "516-623-2277",
            "fax_number": "516-623-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102453",
            "telephone_number": "516-623-2277",
            "fax_number": "516-623-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARSIE MEDICAL CARE P.C. D.B.A BALDWIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-623-2277"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, 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.