Organization Active NPI

Bay Rheumatology, M.D., P.C.

  • Rheumatology Physician
  • Great Neck, NY
National Provider Identifier
1508852179
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
096586 Issued in NY
Legal business name
BAY RHEUMATOLOGY, M.D., P.C.
Practice address
560 Northern Blvd
Suite 107
Greatneck, NY 11021-5113
Phone
(516) 498-3500
Fax
(516) 498-3517
NPI assigned
Sep 20, 2005
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Michael L Hoffman, M.D.NPI 1831190008
Title
Physician
Phone
(516) 498-3500

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
Rheumatology Physician 207RR0500X 096586 NY Primary

Addresses

Primary practice location

560 Northern Blvd
Suite 107
Greatneck, NY 11021-5113

Mailing address

560 Northern Blvd
Suite 107
Great Neck, NY 11021-5113
Phone (516) 498-3500

Other identifiers 2

IdentifierTypeStateIssuer
1508852179OtherNYNATIONAL PROVIDER IDENTIFIER-NPI
WJ6351OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060816000427 NY Part B Supplier - Clinic/Group Practice 1850282500 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

277 Northern Blvd
Ste 312
Great Neck, NY 11021
Phone (516) 498-3500

560 Northern Blvd
Ste 107
Great Neck, NY 11021
Phone (516) 498-3500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1508852179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 107",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215113",
            "telephone_number": "516-498-3500",
            "fax_number": "516-498-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 107",
            "city": "GREATNECK",
            "state": "NY",
            "postal_code": "110215113",
            "telephone_number": "516-498-3500",
            "fax_number": "516-498-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RHEUMATOLOGY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-498-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "096586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER-NPI",
            "identifier": "1508852179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WJ6351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.