Organization Active NPI

Bay Terrace Medical, PLLC

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1700939931
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAY TERRACE MEDICAL, PLLC
Practice address
2335 Bell Blvd
Bayside, NY 11360-2038
Phone
(718) 229-2121
Fax
(718) 229-3502
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Barry Bellovin, MDNPI 1578642229
Title
Physician
Phone
(718) 229-2121

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2335 Bell Blvd
Bayside, NY 11360-2038

Mailing address

2335 Bell Blvd
Bayside, NY 11360-2038
Phone (718) 229-2121

National Provider Directory

National Provider Directory

Locations

2335 Bell Blvd
Ste Lg
Bayside, NY 11360

Practitioners & affiliated clinicians

Practitioners 1

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1700939931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602038",
            "telephone_number": "718-229-2121",
            "fax_number": "718-229-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602038",
            "telephone_number": "718-229-2121",
            "fax_number": "718-229-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY TERRACE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BELLOVIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-229-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.