Organization Active NPI

Bridgeview Medical PC

  • Multi-Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1932989654
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRIDGEVIEW MEDICAL PC
Practice address
2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504
Phone
(929) 200-3003
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Tejas B PatelNPI 1497041776
Title
Medical Director
Phone
(929) 200-3003

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504

Mailing address

2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504
Phone (929) 200-3003

Other practice location 1

9920 4th Ave Ste 313
Brooklyn, NY 11209-8332
Phone (929) 200-3003

National Provider Directory

National Provider Directory

Locations

2955 Veterans Rd W
Ste 2F
Staten Island, NY 10309
Phone (718) 605-3333

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1932989654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "929-200-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "929-200-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9920 4th Ave Ste 313",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098332",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEVIEW MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "929-200-3003",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 2, 2023; 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.