Individual provider Active NPI

Chun Bai, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1609861244
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
227032-1 Issued in NY
Practice address
864 59TH Street
First Floor
Brooklyn, NY 11220-3293
Phone
(347) 240-1690
Fax
(347) 915-0195
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 227032-1 NY Primary

Addresses

Primary practice location

864 59TH Street
First Floor
Brooklyn, NY 11220-3293

Mailing address

268 Neal Dow Ave
Staten Island, NY 10314-3128
Phone (732) 508-3222

Other identifiers 1

IdentifierTypeStateIssuer
02440279MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000306 NJ Practitioner - Nephrology 7810896883 Reassigns benefits to 1 organization
I20040323000205 NY Practitioner - NeurologyPractitioner - Sleep Medicine 7810896883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

268 Neal Dow Ave
Staten Island, NY 10314-3128
Phone (732) 508-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227032-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C.B.Neurology and Sleep Medicine Consulting P.C. Neurology CurrentSince Oct 1, 2012 Accepting new patients
University Physicians of Brooklyn, Inc. Neurology Past Accepting new patients
Tili Medical Office PLLC Past Accepting new patients
Reunion Medical Services, PLLC PastSince Apr 23, 2005 Accepting new patients

Locations

13347 Sanford Ave
Ste C1F
Flushing, NY 11355
Phone (718) 961-8618

401 Broadway
Ste 612
New York, NY 10013
Phone (212) 226-6877

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1609861244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 NEAL DOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143128",
            "telephone_number": "732-508-3222",
            "fax_number": "347-770-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 59TH STREET",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203293",
            "telephone_number": "347-240-1690",
            "fax_number": "347-915-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "CHUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "227032-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02440279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.