Provider Type Icon

BRONX PARK MEDICAL SURGICAL ASSOCIATES PC NPI 1043410269


NPI Information

NPI: 1043410269
Provider Name: BRONX PARK MEDICAL SURGICAL ASSOCIATES PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2016 BRONXDALE AVE
SUITE 202
BRONX, NY
ZIP 10462
Phone: (718) 863-8695
Get Directions

BRONX PARK MEDICAL SURGICAL ASSOCIATES PC is a surgery in Bronx, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BRONX PARK MEDICAL SURGICAL ASSOCIATES PC NPI is 1043410269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2016 BRONXDALE AVE
SUITE 202
BRONX, NY
ZIP 10462-388
Phone: (718) 863-8695
Fax: (718) 863-5147

The provider's authorized official is Stephen Dirusso .
The authorized official title is President and has the following contact phone number (718) 960-6126.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.


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
1208600000XSurgeryYes

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
1W38541OTHERNEW YORKMEDICARE GROUP PROVIDER #

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.