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

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: October 25, 2026.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Ridge Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Bay Ridge Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Cardiovascular Disease (Cardiology)2
Internal Medicine1
Interventional Cardiology1
Podiatry1

Clinicians, nearest first (11)

Laila Alidani, NP
Nurse Practitioner
NPI 1316706369
7404 5TH AVE
Brooklyn, NY 11209
(929) 415-8856
✔ PECOS✔ Accepts MedicareSame address
Daphne Leveque
Nurse Practitioner
NPI 1699505230
7404 5TH AVE
Brooklyn, NY 11209
(929) 451-8856
✔ PECOS✔ Accepts MedicareSame address
Layla Shahin
Nurse Practitioner
NPI 1891525994
7404 5TH AVE
Brooklyn, NY 11209
(718) 532-4332
✔ PECOS✔ Accepts MedicareSame address
Jamie Meng, M.D.
Cardiovascular Disease (Cardiology)
NPI 1437413036
848 49TH ST STE 2
Brooklyn, NY 11220
(718) 283-1500
✔ PECOS✔ Accepts Medicare1.3 mi
Ross Senter, D.P.M
Podiatry
NPI 1790170579
440 AVENUE U
Brooklyn, NY 11223
(718) 627-8700
✔ PECOS✔ Accepts Medicare3.4 mi
Donoveen Tulloch, FNP
Nurse Practitioner
NPI 1184941858
174 E 51ST ST
Brooklyn, NY 11203
(718) 671-2100
✔ PECOS5.2 mi
David Newton, ACNP
Nurse Practitioner
NPI 1518398361
450 OCEAN AVE
Jersey City, NJ 07305
(201) 547-3550
✔ PECOS✔ Accepts Medicare5.8 mi
Oluwatoyin Alonge
Nurse Practitioner
NPI 1467883819
40 HEYWARD ST
Brooklyn, NY 11249
(718) 858-6200
✔ PECOS✔ Accepts Medicare5.9 mi
Mario Lavelanet, M.D.
Internal Medicine
NPI 1972583953
11751 220TH ST
Cambria Heights, NY 11411
(718) 723-4303
✔ PECOS✔ Accepts Medicare15 mi
John Lee, M.D.
Cardiovascular Disease (Cardiology)
NPI 1154502045
43 YAWPO AVE STE 2
Oakland, NJ 07436
(201) 337-0066
✔ PECOS✔ Accepts Medicare29 mi
Anita Ravi, M.D
Interventional Cardiology
NPI 1285820555
1615 PASADENA AVE S STE 300
South Pasadena, FL 33707
(727) 490-3030
✔ PECOS✔ Accepts Medicare1,017 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 · Sep 30, 2026
CLIA Number33D2304226
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2024
Certificate Expiration DateSeptember 30, 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Bay Ridge Medical Group, PLLC located?

Bay Ridge Medical Group, PLLC is located at 7404 5th Ave, Brooklyn, NY 11209. The listed phone number is (929) 415-8856.

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.

Is Bay Ridge Medical Group, PLLC enrolled in Medicare?

Yes. Bay Ridge Medical Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Ridge Medical Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Bay Ridge Medical Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (2) and Internal Medicine (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bay Ridge Medical Group, PLLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.