Bath Ave Care Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BATH AVE CARE INC

Practice address

8755 17TH Ave Apt 2
Brooklyn, NY 11214-4885

Phone

(347) 255-0761

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Rezk Zyada, PT

Title

Programe Director

Phone

(347) 255-0761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1770122780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 17TH AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144885",
            "telephone_number": "347-255-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 17TH AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144885",
            "telephone_number": "347-255-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH AVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "ZYADA",
        "authorized_official_first_name": "REZK",
        "authorized_official_title_or_position": "PROGRAME DIRECTOR",
        "authorized_official_telephone_number": "347-255-0761",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bateman, LCSW
• Anthony Bates, C.A.S.A.C.
• Erika Bates, M.A.,CCC-SLP
• Hisla Bates, M.D.
• Karen J Bates
• Bath Ave Medical Supply LLC
• Bath Ave Pharmacy Inc
• Bath Beach Medical, PC
• Bath Medical, P.C.
• Amrita Batheja, D.D.S.

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.