Organization Active NPI

Bay Ridge Surgi-Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1639694805
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mehrdad Hedayatnia, MDNPI 1679565063
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00148-1OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 33C0001184
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2141128Bay Ridge Surgi-Center370 Bay Ridge Parkway - Cellar, Brooklyn, NY 11209Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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

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.

Verify at the official NPI Registry.