Organization Active NPI

Bay Ridge Fourth Avenue Medical Associates, P. C.

Doing business as Bay Ridge Pulmonary Associates PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1841370814
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P. C.
Doing business as
Bay Ridge Pulmonary Associates PC
Practice address
648 Bay Ridge Pkwy
Brooklyn, NY 11209-3330
Phone
(718) 748-8282
Fax
(718) 836-8113
NPI assigned
Oct 16, 2006
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Jeffrey J Basti, MDNPI 1356434724
Title
President
Phone
(718) 748-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

648 Bay Ridge Pkwy
Brooklyn, NY 11209-3330

Mailing address

648 Bay Ridge Pkwy
Brooklyn, NY 11209-3330
Phone (718) 748-8282

Other names 1

  • Bay Ridge Pulmonary Associates PC Doing business as

National Provider Directory

National Provider Directory

Locations

364 97th St
Brooklyn, NY 11209
Phone (718) 748-8787

648 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-1197

8402 18th Ave
Brooklyn, NY 11214
Phone (718) 331-7117

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1841370814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093330",
            "telephone_number": "718-748-8282",
            "fax_number": "718-836-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093330",
            "telephone_number": "718-748-8282",
            "fax_number": "718-836-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE FOURTH AVENUE MEDICAL ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "BASTI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-748-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Ridge Pulmonary Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.