IMAD JOHN BAKOSS NPI 1174744221

NPI Information

NPI: 1174744221
Provider Name: IMAD JOHN BAKOSS
Classification: Internal Medicine - 207RP1001X
Specialization: Pulmonary Disease
Entity Type: Organization
Address: 2165 71ST ST
BROOKLYN, NY
ZIP 11204
Phone: (718) 621-7100

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NPI Details

IMAD JOHN BAKOSS is a pulmonary disease internal medicine in Brooklyn, 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. IMAD JOHN BAKOSS NPI is 1174744221. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2165 71ST ST
BROOKLYN, NY
ZIP 11204-526
Phone: (718) 621-7100
Fax: (718) 621-7103

The provider's authorized official is Imad J Bakoss .
The authorized official title is Owner and has the following contact phone number (718) 621-7100.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 9/19/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202C00000X	Independent Medical Examiner		129319	NEW YORK	No
2	207R00000X	Internal Medicine		129319	NEW YORK	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	129319	NEW YORK	No
4	207RS0012X	Internal Medicine	Sleep Medicine	129319	NEW YORK	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	129319	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	332321	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00271187	MEDICAID	NEW YORK
3	A62281	MEDICARE UPIN	NEW 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: 11/21/2025

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