OFFICE BASED SURGERY ON THE BAY (NPI# 1649429929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649429929 |
| Entity Type | Organization |
| Organization Name | OFFICE BASED SURGERY ON THE BAY |
| Practice Address |
1711 Sheepshead Bay Rd Brooklyn NY 11235-3651 |
| Practice Telephone | 7183325678 |
| Practice Fax Number | 7189341780 |
| Mailing Telephone | 7183325678 |
| Mailing Fax Number | 7189341780 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. OLEG GUTNIK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7183325678 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
1711 SHEEPSHEAD BAY RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466249 | Eldar Kadymoff | Family Medicine | 1711 Sheepshead Bay Rd, Ngm/prime Care On The Bay, Brooklyn, NY 11235-3651 | 2005-09-09 |
| 1720248628 | Ernesto N Villas | Specialist | 1711 Sheepshead Bay Rd, Brooklyn, NY 11235-3651 | 2008-06-13 |
| 1023297694 | Prime Care On The Bay LLC | Clinic/Center | 1711 Sheepshead Bay Rd, Ground Floor, Brooklyn, NY 11235-3651 | 2007-10-30 |
| 1962578229 | Jeffrey C Marc | Internal Medicine | 1711 Sheepshead Bay Rd, Lover Level, Brooklyn, NY 11235-3651 | 2006-11-28 |
| 1750328688 | Anna Yatskar | Internal Medicine | 1711 Sheepshead Bay Rd, 2 Fl, Brooklyn, NY 11235-3651 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629576913 | Hem of His Garment Gynecology, Pllc | Obstetrics & Gynecology | 363 Greene Ave Fl Ground, Brooklyn, NY 11216-4749 | 2018-02-01 |
| 1902248362 | I Mikheyeva Medical PC | Obstetrics & Gynecology | 111 North 7th St., Brooklyn, NY 11211 | 2013-07-25 |
| 1033447974 | Orchid Gynecology Practice, P.C. | Obstetrics & Gynecology | 10 Columbia Pl, Store #8, Brooklyn, NY 11201-4525 | 2009-12-04 |
| 1285702506 | Farajollah Motahedeh | Obstetrics & Gynecology | 3302 Avenue N, Brooklyn, NY 11234 | 2006-12-04 |
| 1811060643 | Dmitriy Bronfman | Obstetrics & Gynecology | 17 W End Ave, Brooklyn, NY 11235-4812 | 2006-11-17 |
| 1346326659 | Tatyana Pevzner | Obstetrics & Gynecology | 2320 Avenue U, Brooklyn, NY 11229-4917 | 2006-10-29 |
| 1073696647 | Herbert Morton Lieber | Obstetrics & Gynecology | 1720 E 14th St, Suite 2, Brooklyn, NY 11229-2088 | 2006-10-24 |
| 1144303058 | Vinette W. Tummings, M.d. | Obstetrics & Gynecology | 363 Greene Ave, Ground Floor, Brooklyn, NY 11216-4749 | 2006-10-23 |
| 1770677353 | Max Jean-gilles | Obstetrics & Gynecology | 160 Parkside Avenue, Suite 1de, Brooklyn, NY 11226 | 2006-10-03 |
| 1326148206 | Reproductive Medicine Associates of Brooklyn LLP | Obstetrics & Gynecology | 1725 East 12 Street, Suite 401, Brooklyn, NY 11229-1064 | 2006-09-22 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.