KINGSBRIDGE MEDICAL SERVICES PLLC NPI 1275026635

NPI Information

NPI: 1275026635
Provider Name: KINGSBRIDGE MEDICAL SERVICES, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2153817

Address:
5546 BROADWAY
BRONX, NY
ZIP 10463
Phone: (917) 688-4590
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KINGSBRIDGE MEDICAL SERVICES, PLLC is a primary care clinic center in Bronx, NY. KINGSBRIDGE MEDICAL SERVICES, PLLC NPI is 1275026635. The provider is registered as an organization entity type.

The provider's business location address is:

5546 BROADWAY
BRONX, NY
ZIP 10463-250
Phone: (917) 688-4590
Fax: (917) 688-4591

The provider's authorized official is Rajesh Gupta .
The authorized official title is Medical Director and has the following contact phone number (917) 688-4590.

The CLIA number assigned to this NPI record is 33D2153817 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 10/18/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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