Bay Ridge Pediatrics and Adolescents Office PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

166458 Issued in NY

Legal business name

BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE PC

Practice address

217 73Rd St
1 St Floor
Brooklyn, NY 11209-2109

Phone

(718) 921-0074

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdulla Alwani, M.D.NPI 1346344512

Title

Physician

Phone

(171) 892-0074

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIGDBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdulla - Alwani, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1346344512
  NPD (past) Authorized official

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1649615055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 73 ED STREET",
            "address_2": "1 ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092109",
            "telephone_number": "718-921-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 73RD ST",
            "address_2": "1 ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092109",
            "telephone_number": "718-921-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE PEDIATRICS AND ADOLESCENTS OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ALWANI",
        "authorized_official_first_name": "ABDULLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "171-892-0074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "166458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Medical LLC
• Bay Ridge Medical Services
• Bay Ridge Mental Health Services PLLC
• Bay Ridge Ophthalmology PLLC
• Bay Ridge Orthopedic Associates, PC
• Bay Ridge People's Pharmacy, Inc (Powells Pharmacy)
• Bay Ridge Physical Therapy PC
• Bay Ridge Physical Therapy PC (Team Time)
• Bay Ridge Physicians Diagnostic Services
• Bay Ridge Primary Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.