Bay Ridge Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAY RIDGE MEDICAL SERVICES

Practice address

124 86TH St
Brooklyn, NY 11209-4914

Phone

(718) 921-1977

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laurence Rezkalla, M.D.NPI 1962479626

Title

President

Phone

(718) 921-1977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Laurence Rezkalla, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1962479626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1932366069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094914",
            "telephone_number": "718-921-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094914",
            "telephone_number": "718-921-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "REZKALLA",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-921-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Medical Group, PLLC
• Bay Ridge Medical Imaging, P.C
• Bay Ridge Medical Imaging, PC
• Bay Ridge Medical Imaging, PC
• Bay Ridge Medical LLC
• Bay Ridge Mental Health Services PLLC
• Bay Ridge Ophthalmology PLLC
• Bay Ridge Orthopedic Associates, PC
• Bay Ridge Pediatrics and Adolescents Office PC
• Bay Ridge People's Pharmacy, Inc (Powells Pharmacy)

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.