Bridgeview Neuromed Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

233817 Issued in NY

Legal business name

BRIDGEVIEW NEUROMED CARE PC

Practice address

829 57TH St
5FL
Brooklyn, NY 11220-3677

Phone

(718) 375-3738

Fax

(718) 686-0188

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Yongming Mao, M.D

Title

President

Phone

(718) 375-3738

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1851662431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "5FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-375-3738",
            "fax_number": "718-686-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 57TH ST",
            "address_2": "5FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203677",
            "telephone_number": "718-375-3738",
            "fax_number": "718-686-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW NEUROMED CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "YONGMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-375-3738",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "233817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrick Bridgeforth
• Bridgeman Transportation of Ny Corp (TKB Ambulette Service)
• Tiffany Bridgeman, MD
• Bridges Psychological Services, P.C.
• Bridges Speech Language Pathology PLLC
• Bridgeview Physical Therapy, P.C.
• Cyre Bridgewater
• Harold Bridgewater, CASAC
• Bridgeway Trading Inc
• Bridging Access to Care

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.