Bay Medical & Diagnostic Services, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

209027 Issued in NY

Legal business name

BAY MEDICAL & DIAGNOSTIC SERVICES, P.C.

Practice address

1659 78 STR
2ND FL
Brooklyn, NY 11214-1014

Phone

(718) 234-1212

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Aleksandr Martirosov, D.O.

Title

President

Phone

(718) 234-1212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1568623460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 78 STR",
            "address_2": "2 ND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141014",
            "telephone_number": "718-234-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 78 STR",
            "address_2": "2ND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141014",
            "telephone_number": "718-234-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MEDICAL & DIAGNOSTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MARTIROSOV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-234-1212",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "209027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.