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BATH BEACH MEDICAL PC NPI 1235413527


NPI Information

NPI: 1235413527
Provider Name: BATH BEACH MEDICAL PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1551 RICHMOND RD
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 836-3333
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BATH BEACH MEDICAL PC is a pulmonary disease internal medicine in Staten Island, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. BATH BEACH MEDICAL PC NPI is 1235413527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1551 RICHMOND RD
STATEN ISLAND, NY
ZIP 10304-313
Phone: (718) 836-3333
Fax: (718) 836-3334

The provider's authorized official is Chitoor S Govindaraj .
The authorized official title is Owner and has the following contact phone number (718) 836-3333.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep Medicine111292NEW YORKNo
2207RP1001XInternal MedicinePulmonary Disease111292NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1571991MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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