Provider Demographics
NPI:1003819343
Name:BABB, JOHN DENZIL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DENZIL
Last Name:BABB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:185 MONTAGUE ST
Mailing Address - Street 2:FL 12
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3600
Mailing Address - Country:US
Mailing Address - Phone:718-783-1616
Mailing Address - Fax:718-783-8002
Practice Address - Street 1:185 MONTAGUE ST
Practice Address - Street 2:FL 12
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3600
Practice Address - Country:US
Practice Address - Phone:718-783-1616
Practice Address - Fax:718-783-8002
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2019-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1465951207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00861096Medicaid
NY1C5965OtherPHS
NY113000396OtherEMPIREPLAN
NY146595-A21OtherHEALTHFIRST65
NY566025OtherUNITED HEALTHCARE
NY164587OtherELDERPLAN
NY4270599OtherAETNA
NY566025OtherUNITED HEALTH CARE
NY113000396OtherNATIONAL BENEFIT PLAN
NY4270599OtherAETNAUSHEALTH
NYKS0101OtherOXFORD
NY0021193OtherGHI
NY27342POtherHIP
NY00861096Medicaid
NY113000396OtherNATIONAL BENEFIT PLAN
NY113000396OtherEMPIREPLAN
NYB12950Medicare UPIN