| 464 Bay Ridge Medical Pllc | |
|
466 Bay Ridge Ave Brooklyn NY 11220-5906 | |
| (718) 491-2003 | |
| (718) 491-2007 |
| Full Name | 464 Bay Ridge Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 466 Bay Ridge Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ramsey Joudeh (OWNER) |
| Authorized Official Contact | 7184912003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 464 Bay Ridge Medical Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 | 464 Bay Ridge Medical Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 |
| NPI Number | 1912568981 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 06/21/2019 |
| Medicare PECOS PAC ID | 3476889528 |
|---|---|
| Medicare Enrollment ID | O20190726000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912568981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gemma Marie Bracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528368974 PECOS PAC ID: 9335323963 Enrollment ID: I20110406000494 |
| Provider Name | Ramsey Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819353 PECOS PAC ID: 3274752639 Enrollment ID: I20140917000160 |
| Provider Name | Killauda Nguyen-chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376920892 PECOS PAC ID: 8628380839 Enrollment ID: I20150701000094 |
| Provider Name | Carol K Leong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902293194 PECOS PAC ID: 5395046643 Enrollment ID: I20170501000544 |
| Provider Name | Shujun Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946465 PECOS PAC ID: 2860769536 Enrollment ID: I20170531000717 |
| Provider Name | Erin E Spahic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811497837 PECOS PAC ID: 0042573537 Enrollment ID: I20180416001483 |
| Provider Name | Idir Saradouni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457865974 PECOS PAC ID: 0749430221 Enrollment ID: I20190708001271 |
| Provider Name | Ambar E Arancibia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912461138 PECOS PAC ID: 8820425317 Enrollment ID: I20200221001978 |
| Provider Name | Bhupinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518592948 PECOS PAC ID: 4284057548 Enrollment ID: I20200706002613 |
| Provider Name | Tinea White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992323422 PECOS PAC ID: 9133531338 Enrollment ID: I20201211001918 |
| Provider Name | Grace Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365303 PECOS PAC ID: 6608280839 Enrollment ID: I20210130000035 |
| Provider Name | Rachel Telfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312038 PECOS PAC ID: 1153736798 Enrollment ID: I20210212001665 |
| Provider Name | Georgette Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093145708 PECOS PAC ID: 9830586742 Enrollment ID: I20220425000105 |
| Provider Name | Ambar E Arancibia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912461138 PECOS PAC ID: 8820425317 Enrollment ID: I20230329000772 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |