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BRONX MEDICAL SERVICES PLLC NPI 1174715395


NPI Information

NPI: 1174715395
Provider Name: BRONX MEDICAL SERVICES PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
930 GRAND CONCOURSE
BRONX, NY
ZIP 10451
Phone: (718) 537-3392
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BRONX MEDICAL SERVICES PLLC is a clinic center in Bronx, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRONX MEDICAL SERVICES PLLC NPI is 1174715395. The provider is registered as an organization entity type.

The provider's business location address is:

930 GRAND CONCOURSE
BRONX, NY
ZIP 10451-705
Phone: (718) 537-3392

The provider's authorized official is Okon E Umana .
The authorized official title is Medical Director and has the following contact phone number (718) 537-3392.

The enumeration date for this NPI number is 8/11/2007 and was last updated on 4/20/2008.


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
1261QC1500XClinic/CenterCommunity Health153743NEW YORKNo
2261QH0100XClinic/CenterHealth Service153743NEW YORKNo
3261QM1300XClinic/CenterMulti-Specialty153743NEW YORKNo
4261QP2000XClinic/CenterPhysical Therapy153743NEW YORKNo
5261QP2300XClinic/CenterPrimary Care153743NEW YORKNo
6261Q00000XClinic/Center153743NEW YORKYes

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
1=========OTHERNEW YORKHEALTH FIRST
290D672MEDICARE PINNEW YORK
3=========OTHERNEW YORK1199
4=========OTHERNEW YORKGHI
500758190MEDICAIDNEW YORK
6=========OTHERAFFINITY
7=========OTHERNEW YORKWELL PLAN
8=========OTHERNEW YORKSIGNA
9=========OTHEREMPIRE PLAN
1090D672OTHERNEW YORKBCBS
11=========OTHERNEW YORKEMPIRE PLAN
12=========OTHERNEW YORKHIP
13=========OTHERUNITED HEALTH CARE
14B1988MEDICARE UPINNEW 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

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.