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IHS OF NEW YORK INC NPI 1073549192


NPI Information

NPI: 1073549192
Provider Name: IHS OF NEW YORK INC

Doing Business As: PELHAM PARKWAY DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1400 PELHAM PKWY S
JACOBI MEDICAL CENTER BLDG 5 A1
BRONX, NY
ZIP 10461
Phone: (718) 409-1909
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IHS OF NEW YORK INC is an end-stage renal disease (esrd) treatment clinic center in Bronx, NY. IHS OF NEW YORK INC NPI is 1073549192. The provider is registered as an organization entity type.
The provider Is Doing Business As Pelham Parkway Dialysis Center.

The provider's business location address is:

1400 PELHAM PKWY S
JACOBI MEDICAL CENTER BLDG 5 A1
BRONX, NY
ZIP 10461-138
Phone: (718) 409-1909
Fax: (718) 409-1823

The provider's authorized official is Kathleen Mcdonnell .
The authorized official title is President and has the following contact phone number (561) 361-1113.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/26/2015.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1332619MEDICARE OSCAR/CERTIFICATION
203009161MEDICAIDNEW 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: 11/14/2023

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