Bay Park Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6027057 Issued in NY

Legal business name

BAY PARK MEDICAL, PC

Practice address

348 13TH St
Suite 201
Brooklyn, NY 11215-6177

Phone

(718) 636-0335

Fax

(718) 783-6582

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arnold I Berlin, MD

Title

Medical Director

Phone

(718) 636-0335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1740360585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156177",
            "telephone_number": "718-636-0335",
            "fax_number": "718-783-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST",
            "address_2": "SUITE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156177",
            "telephone_number": "718-636-0335",
            "fax_number": "718-783-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PARK MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-636-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "6027057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01480675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Medical Associate PC
• Bay Medical Care P.C.
• Bay Medical PC
• Bay Ms Inc.
• Bay OB GYN, P.C.
• Bay Park One Medical, PC
• Bay Park Pharmacy Corp.
• Bay Park Pharmacy Corp.
• Bay Parkway Adult Day Care, Inc.
• Bay Parkway All Types of Dentistry PC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.