Provider Demographics
NPI: | 1932272978 |
---|---|
Name: | BIK ORTHOPEDICS, PC |
Entity Type: | Organization |
Organization Name: | BIK ORTHOPEDICS, PC |
Other - Org Name: | BIK NEW YORK DOWNTOWN ORTHOPAEDIC ASSOCIATES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ELI |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRYK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 212-312-5990 |
Mailing Address - Street 1: | 170 WILLIAM ST |
Mailing Address - Street 2: | 8TH FLOOR |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10038-2612 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-312-5900 |
Mailing Address - Fax: | 212-312-5995 |
Practice Address - Street 1: | 170 WILLIAM ST |
Practice Address - Street 2: | 8TH FLOOR |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10038-2612 |
Practice Address - Country: | US |
Practice Address - Phone: | 212-312-5900 |
Practice Address - Fax: | 212-312-5995 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-16 |
Last Update Date: | 2012-12-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 160873 | 207X00000X |
NY | 198456 | 207X00000X |
NY | 158863 | 207XP3100X |
NY | 214203 | 207XS0106X |
NY | 150861 | 207XS0106X |
NY | 147290 | 207XS0117X |
NY | 166721 | 207XX0004X |
NY | 169285 | 207XX0005X |
NY | 219508 | 207XX0801X |
NY | N003105 | 213E00000X |
NY | 026578 | 225100000X |
NY | 027354 | 225100000X, 2251S0007X |
NY | 032177 | 225100000X |
NY | 002073 | 225X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | Group - Multi-Specialty |
No | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery | Group - Multi-Specialty |
No | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | Group - Multi-Specialty |
No | 207XX0004X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Foot and Ankle Surgery | Group - Multi-Specialty |
No | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | Group - Multi-Specialty |
No | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma | Group - Multi-Specialty |
No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 01392465 | Medicaid | |
NY | WWQ651 | Medicare PIN | |
NY | 01392465 | Medicaid |