Northside BK LLC

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

NORTHSIDE BK LLC

Practice address

207 Bedford Ave
Brooklyn, NY 11211-3236

Phone

(718) 387-2222

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Lucas Ballinas

Title

President

Phone

(718) 387-2222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1487296802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113236",
            "telephone_number": "718-387-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113236",
            "telephone_number": "718-387-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE BK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BALLINAS",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-387-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Taxi in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.