Bay Ridge Skin and Cancer Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

194876 Issued in NY

Legal business name

BAY RIDGE SKIN AND CANCER DERMATOLOGY, PC

Practice address

9921 4TH Ave
Brooklyn, NY 11209-8347

Phone

(718) 833-7616

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Biro, MDNPI 1265439129

Title

President

Phone

(718) 833-7616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Eric Biro, M.D.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1265439129
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Levine, PA

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1619267382
  Medicare reassignment Care Compare group
• Sarah Rachel Ovadia, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1669983615
  Medicare reassignment Care Compare group
• Kristin Horan, APN

  • Physician Assistant
  • Freehold, NJ
  • NPI 1467966523

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1639332281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098347",
            "telephone_number": "718-833-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098347",
            "telephone_number": "718-833-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE SKIN AND CANCER DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BIRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "194876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Physical Therapy PC (Team Time)
• Bay Ridge Physicians Diagnostic Services
• Bay Ridge Primary Care
• Bay Ridge RX Inc (Pill RX Pharmacy)
• Bay Ridge Services Inc
• Bay Ridge Sleep Experts Lab, Inc
• Bay Ridge Smiles
• Bay Ridge Specialty Pharmacy, LLC
• Bay Ridge Sunset Park Dialysis Center
• Bay Ridge Surgi-Center LLC

• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.