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KINGSBRIDGE COMMUNITY MEDICAL PC NPI 1811053507


NPI Information

NPI: 1811053507
Provider Name: KINGSBRIDGE COMMUNITY MEDICAL PC

Other Name: KINGSBRIDGE COMMUNITY MEDICAL PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
170 WEST 233RD STREET
SUITE 1A
BRONX, NY
ZIP 10463
Phone: (718) 543-0700
Get Directions

KINGSBRIDGE COMMUNITY MEDICAL PC is a family medicine in Bronx, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KINGSBRIDGE COMMUNITY MEDICAL PC NPI is 1811053507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kingsbridge Community Medical Pc.

The provider's business location address is:

170 WEST 233RD STREET
SUITE 1A
BRONX, NY
ZIP 10463
Phone: (718) 543-0700
Fax: (718) 543-0788

The provider's authorized official is Lawrence Chiaramonte .
The authorized official title is Medical Director and has the following contact phone number (718) 543-0700.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2207K00000XAllergy & ImmunologyNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RG0100XInternal MedicineGastroenterologyNo
6208000000XPediatricsNo
72084N0400XPsychiatry & NeurologyNeurologyNo
82085R0202XRadiologyDiagnostic RadiologyNo
9208800000XUrologyNo
10213E00000XPodiatristNo
11225100000XPhysical TherapistNo
12207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102773393MEDICAIDNEW YORK
2WAW511MEDICARE UPINNEW YORK
3WAW511MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.