Bridge to Health Medical P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221943 Issued in NY

Legal business name

BRIDGE TO HEALTH MEDICAL P.C

Practice address

2565 E 17TH St
Brooklyn, NY 11235-3515

Phone

(347) 598-4898

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ilya Smuglin

Title

President

Phone

(347) 598-4898

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1982888392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353515",
            "telephone_number": "347-598-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353515",
            "telephone_number": "347-598-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HEALTH MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SMUGLIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-598-4898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02754350",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridge Family Dental, P.C.
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• Garrick Bridgeforth
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• Tiffany Bridgeman, MD
• Bridges Psychological Services, P.C.
• Bridges Speech Language Pathology PLLC

• 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 Dec 20, 2007; 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.