Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bayu Sutarjono, MD

Individual provider Emergency Medicine Physician · NPI 1578203246

Dr. Bayu Sutarjono, MD is an Emergency Medicine in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Interfaith Emergency Medicine PC, a 31-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone: (347) 422-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 339711 (NY)

Record details

NPI number1578203246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Interfaith Emergency Medicine Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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