Bay Ridge Ophthalmology PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

244377-1 Issued in NY

Legal business name

BAY RIDGE OPHTHALMOLOGY PLLC

Practice address

9201 4TH Ave
Suite 501
Brooklyn, NY 11209-7065

Phone

(718) 921-2500

Fax

(718) 238-2558

NPI assigned

Jun 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Chitra Radhakrishnan, M.D.NPI 1770773012

Title

Owner

Phone

(631) 827-7563

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Chitra Radhakrishnan, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1770773012
  Authorized official Same address or phone
• Lee Elliot Loewinger, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1407939606
  NPD (past)

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1811302888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "address_2": "SUITE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-921-2500",
            "fax_number": "718-238-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "address_2": "SUITE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-921-2500",
            "fax_number": "718-238-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "RADHAKRISHNAN",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-827-7563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "244377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Medical Imaging, PC
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• Bay Ridge Medical LLC
• Bay Ridge Medical Services
• Bay Ridge Mental Health Services PLLC
• Bay Ridge Orthopedic Associates, PC
• Bay Ridge Pediatrics and Adolescents Office PC
• Bay Ridge People's Pharmacy, Inc (Powells Pharmacy)
• Bay Ridge Physical Therapy PC
• Bay Ridge Physical Therapy PC (Team Time)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.