Bay Ridge Orthopedic Associates, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

104095-1 Issued in NY

Legal business name

BAY RIDGE ORTHOPEDIC ASSOCIATES, PC

Practice address

476 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Phone

(914) 305-4633

Fax

(914) 305-5587

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Ehab Sanduby

Title

Billing Manager

Phone

(914) 305-4633

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

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699882829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "914-305-4633",
            "fax_number": "914-305-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "914-305-4633",
            "fax_number": "914-305-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE ORTHOPEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDUBY",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "914-305-4633"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "104095-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Medical Imaging, PC
• Bay Ridge Medical LLC
• Bay Ridge Medical Services
• Bay Ridge Mental Health Services PLLC
• Bay Ridge Ophthalmology PLLC
• Bay Ridge Pediatrics and Adolescents Office PC
• Bay Ridge People'S Pharmacy, Inc
• Bay Ridge Physical Therapy PC
• Bay Ridge Physical Therapy PC
• Bay Ridge Physicians Diagnostic Services

• Orthopaedic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.