Organization Active NPI

C.B.Neurology and Sleep Medicine Consulting P.C.

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1891047528
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
227032 Issued in NY
Legal business name
C.B.NEUROLOGY AND SLEEP MEDICINE CONSULTING P.C.
Practice address
268 Neal Dow Ave
Staten Island, NY 10314-3128
Phone
(848) 219-7005
Fax
(347) 770-8011
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Chun Bai, M.D.NPI 1609861244
Title
President
Phone
(732) 508-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 227032 NY Primary

Addresses

Primary practice location

268 Neal Dow Ave
Staten Island, NY 10314-3128

Mailing address

23 Amelia Dr
Clark, NJ 07066-2929
Phone (732) 508-3222

Other identifiers 1

IdentifierTypeStateIssuer
02440279MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000209 NY Part B Supplier - Clinic/Group Practice 8123179843 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Brooklyn, NY; Staten Island, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1021 Avenue Z
#2
Brooklyn, NY 11235
Phone (718) 873-7048

13347 Sanford Ave
Ste C1F
Flushing, NY 11355
Phone (718) 961-8618

401 Broadway
Ste 612
New York, NY 10013
Phone (212) 226-6877

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1891047528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 AMELIA DR",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662929",
            "telephone_number": "732-508-3222",
            "fax_number": "347-770-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 NEAL DOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143128",
            "telephone_number": "848-219-7005",
            "fax_number": "347-770-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.B.NEUROLOGY AND SLEEP MEDICINE CONSULTING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "BAI",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-508-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "227032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02440279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.