BAY RIDGE MEDICAL GROUP, PLLC
NPI 1245097989
Internal Medicine - Interventional Cardiology in Brooklyn, NY

Q: What is Bay Ridge Medical Group, PLLC's NPI number?

The NPI number for Bay Ridge Medical Group, PLLC is 1245097989. It was assigned to this organization in the NPPES registry on February 29, 2024.

Q: What is Bay Ridge Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since February 29, 2024

7404 5TH AVE, BROOKLYN, NY 11209(929) 415-8856(718) 233-3165 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bay Ridge Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY RIDGE MEDICAL GROUP, PLLC (NPI 1245097989) is a healthcare organization registered as an interventional cardiology in Brooklyn, New York and active in the NPI registry since February 2024. The organization lists John Hyung Il Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1245097989

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameBAY RIDGE MEDICAL GROUP, PLLC

Location Address7404 5TH AVEBrooklyn, NY 11209-2704

Mailing Address7404 5th AveBrooklyn, NY 11209-2704 · (929) 415-8856 · Fax (718) 233-3165

Phone(929) 415-8856

Fax(718) 233-3165

Organization SubpartNo

Authorized OfficialJohn Hyung Il LeeOwner · (929) 415-8856

Enumeration DateFebruary 29, 2024

Last NPPES UpdateNovember 21, 2024

NPPES CertifiedNovember 21, 2024

✔ NPI 1245097989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X

7404 5TH AVE, Brooklyn, NY 11209

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2304226

Bay Ridge Medical Group PLLC · Brooklyn, NY

Expired · Jul 31, 2026

CLIA Number33D2304226

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorDr. John H. Lee

Laboratory Phone(929) 415-8856

Laboratory LocationBay Ridge Medical Group PLLC7404 5th Ave, Ste 1, Brooklyn, NY 11209

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA VICTORIA CLEMENTE FNP-BE, VA-BC

Nurse Practitioner (Family)