Active NPI
Bay Ridge Surgi-Center LLC
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
National Provider Identifier
1639694805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BAY RIDGE SURGI-CENTER LLC
- Practice address
- 370 Bay Ridge Pkwy Ste 1
Brooklyn, NY 11209-3164 - Phone
- (718) 833-7246
- NPI assigned
- Aug 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehrdad Hedayatnia, MD
- Title
- Owner-Authorized Official
- Phone
- (718) 833-7246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
370 Bay Ridge Pkwy Ste 1
Brooklyn, NY 11209-3164
Mailing address
370 Bay Ridge Pkwy Ste 1
Brooklyn, NY 11209-3164
Phone (718) 833-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00148-1 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190524000597 | NY | Part B Supplier - Ambulatory Surgical Center | 1850634320 | Practice locations: Brooklyn, NY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Bay Ridge Surgi Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2141128 | Bay Ridge Surgi-Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1679565063
-
- Pain Medicine Physician
- Brooklyn, NY
- NPI 1861451130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1639694805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 BAY RIDGE PKWY STE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093164",
"telephone_number": "718-833-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 BAY RIDGE PKWY STE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093164",
"telephone_number": "718-833-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY RIDGE SURGI-CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-09",
"last_updated": "2022-07-21",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "HEDAYATNIA",
"authorized_official_first_name": "MEHRDAD",
"authorized_official_title_or_position": "OWNER-AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-833-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "00148-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Bay Ridge Skin and Cancer Dermatology, PC
- Bay Ridge Sleep Experts Lab, Inc
- Bay Ridge Smiles
- Bay Ridge Specialty Pharmacy, LLC
- Bay Ridge Sunset Park Dialysis Center
- Bay Ridge Urology Associates
- Bay Ridge Vision Center LLC
- Bay Ridge Vision Center LLC
- Bay Ridge Vision Express, LLC
- Bay Wellness Program PT, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.