464 BAY RIDGE MEDICAL PLLC - NPI 1912568981 - Internal Medicine in Brooklyn, NY

Q: What is 464 Bay Ridge Medical PLLC's NPI number?

The NPI number for 464 Bay Ridge Medical PLLC is 1912568981. It was assigned to this organization in the NPPES registry on June 21, 2019.

Q: What is 464 Bay Ridge Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About 464 Bay Ridge Medical Pllc NPPES

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

464 BAY RIDGE MEDICAL PLLC (NPI 1912568981) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since June 2019. The organization lists Ramsey Joudeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1912568981

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business Name464 BAY RIDGE MEDICAL PLLC

Location Address466 BAY RIDGE AVEBrooklyn, NY 11220-5906

Mailing Address466 Bay Ridge AveBrooklyn, NY 11220-5906 · (718) 491-2003 · Fax (718) 491-2007

Phone(718) 491-2003

Fax(718) 491-2007

Organization SubpartNo

Authorized OfficialRamsey JoudehOwner · (718) 491-2003

Enumeration DateJune 21, 2019

✔ NPI 1912568981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

466 BAY RIDGE AVE, Brooklyn, NY 11220

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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 Waiver 33D2296024

464 Bay Ridge Medical PLLC · Brooklyn, NY

Expired · Dec 19, 2025

CLIA Number33D2296024

Laboratory TypePhysician Office

Certificate Effective DateDecember 20, 2023

Certificate Expiration DateDecember 19, 2025

Laboratory DirectorDr. Ramsey Joudeh

Laboratory Phone(718) 491-2003

Laboratory Location464 Bay Ridge Medical PLLC464 Bay Ridge Ave Ste B, Brooklyn, NY 11220

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

R JOUDEH MEDICAL PAVILION, PLLC

Internal Medicine