Organization Active NPI

Bayview Neurology PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1992023774
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208664 Issued in NY
Legal business name
BAYVIEW NEUROLOGY PC
Practice address
2626 E 14TH St Ste 204
Brooklyn, NY 11235-3968
Phone
(718) 414-2401
Fax
(718) 504-7792
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Andre Strizhak, M.D.NPI 1447212147
Title
President
Phone
(718) 414-2401

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 208664 NY Primary

Addresses

Primary practice location

2626 E 14TH St Ste 204
Brooklyn, NY 11235-3968

Mailing address

2626 E 14TH St Ste 204
Brooklyn, NY 11235-3968
Phone (718) 414-2401

Other identifiers 1

IdentifierTypeStateIssuer
208664OtherNYNY STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100729000111 NY Part B Supplier - Clinic/Group Practice 8022141936 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1992023774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353968",
            "telephone_number": "718-414-2401",
            "fax_number": "718-504-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353968",
            "telephone_number": "718-414-2401",
            "fax_number": "718-504-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "STRIZHAK",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-414-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "208664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "208664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.