DOUGLAS BAILYN MBR
NPI 1982039129
Internal Medicine in New York, NY

Active since September 06, 2013
111 BROADWAY, SUITE 1302, NEW YORK, NY 10006(212) 777-1510 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Bailyn Mbr NPPES

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

DOUGLAS BAILYN MBR (NPI 1982039129) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since September 2013. The organization lists Brenda Loper, Manager, as its authorized official.

NPPES Registry Identity

NPI1982039129
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOSTA BERKSHIRE GROUP LLC
Location Address111 BROADWAY, SUITE 1302New York, NY 10006-1901
Mailing Address111 Broadway, Suite 1302New York, NY 10006-1901 · (212) 777-1510
Organization SubpartNo
Authorized OfficialBrenda LoperManager · (212) 777-1510
Enumeration DateSeptember 6, 2013
NPI 1982039129 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.
111 BROADWAY, New York, NY 10006

Other Names 1

Other NameDouglas Bailyn Mbr

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Nurse Practitioner
111 BROADWAY, SUITE 504
NEW YORK, NY 10006
Nurse Practitioner (Family)
111 BROADWAY
NEW YORK, NY 10006
Nurse Practitioner (Family)
111 BROADWAY, 1302
NEW YORK, NY 10006
Obstetrics & Gynecology (Gynecology)
111 BROADWAY, SUITE 1302
NEW YORK, NY 10006
Dentist (General Practice)
111 BROADWAY, SUITE 1304
NEW YORK, NY 10006
Dentist
111 BROADWAY, #1701
NEW YORK, NY 10006
Dermatology
111 BROADWAY
NEW YORK, NY 10006
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
111 BROADWAY
NEW YORK, NY 10006

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 Costa Berkshire Group LLC's NPI number?

The NPI number for Costa Berkshire Group LLC is 1982039129. It was assigned to this organization in the NPPES registry on September 6, 2013. The provider is also known as Douglas Bailyn Mbr.

Where is Costa Berkshire Group LLC located?

Costa Berkshire Group LLC is located at 111 Broadway Suite 1302, New York, NY 10006. The listed phone number is (212) 777-1510.

What is Costa Berkshire Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Costa Berkshire Group LLC was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.