Active NPI
Charles J Bacall, MD
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1649382136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 129470
- Practice address
- 1126 Park Ave
New York, NY 10128-1203 - Phone
- (212) 289-4500
- Fax
- (212) 289-6793
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 129470 | NY | Primary |
Addresses
Primary practice location
1126 Park Ave
New York, NY 10128-1203
Mailing address
1126 Park Ave
New York, NY 10128-1203
Phone (212) 289-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 25, 2021 through Feb 25, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York Medical College, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1126 Park Ave
New York, NY 10128-1203
1150 5TH Ave
New York, NY 10128-0724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Fetal Medicine Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- charles.bacall@mfmnyc.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Specialist
- Paramus, NJ
- NPI 1144264060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406332800000",
"number": "1649382136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281203",
"telephone_number": "212-289-4500",
"fax_number": "212-289-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281203",
"telephone_number": "212-289-4500",
"fax_number": "212-289-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACALL",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "129470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- 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.