BRONXCARE HEALTH SYSTEM (NPI# 1053790147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053790147 |
| Entity Type | Organization |
| Organization Name | BRONXCARE HEALTH SYSTEM |
| Other Organization Name | AMBULATORY CARE NETWORK |
| Practice Address |
1650 Grand Concourse Bronx NY 10457 |
| Mailing Address |
1276 Fulton Ave Fl 3 Bronx NY 10456-3402 |
| Practice Telephone | 7189018600 |
| Practice Fax Number | 7182931457 |
| Mailing Telephone | 7189018600 |
| Mailing Fax Number | 7182931475 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | MR. VICTOR G DEMARCO (SENIOR VP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7189018600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | BRONXCARE HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7000001H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000163N | 01 |
| NY | 00476022 | 05 |
| Other Name | Type Code |
|---|---|
| Ambulatory Care Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1710393376 | Bronxcare Health System | General Acute Care Hospital | 742-744 Kelly Street, Bronx, NY 10455 | 2014-07-03 |
| 1306190558 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave 3rd Floor, Bronx, NY 10456 | 2012-11-08 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1053707091 | Bronxcare Health System | Clinic/Center | 1650 Grand Concourse, Bronx, NY 10457 | 2015-04-07 |
| 1871999359 | Bronxcare Health System | Pathology | 1276 Fulton Ave, Room 208, Bronx, NY 10456 | 2014-11-12 |
| 1831515154 | Bronxcare Health System | Clinic/Center | 199 Mount Eden Pkwy, Bronx, NY 10457 | 2014-03-11 |
| 1851717219 | Bronxcare Health System | Clinic/Center | 1770 Grand Concourse, Suite 2f, Bronx, NY 10457 | 2014-03-10 |
| 1811236532 | Bronxcare Health System | Psychiatry & Neurology | 1650 Grand Concourse, Bronx, NY 10457 | 2013-02-01 |
| 1194060418 | Bronxcare Health System | Allergy & Immunology | 1650 Grand Concourse, Bronx, NY 10457 | 2012-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONXCARE HEALTH SYSTEM | 1276 Fulton Ave, Bronx, NY 10456-3402 |
| Street Address |
1650 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859952 | Ruth Mankoff | Advanced Practice Midwife | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2005-05-28 |
| 1053918813 | Ujwol Karmacharya | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-10-05 |
| 1427664713 | Jasmine George | Pharmacist | 1650 Grand Concourse, Main Basement Pharmacy, Bronx, NY 10457 | 2020-09-22 |
| 1700491446 | Harpreet Kaur | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1801401567 | Aditya Tiwari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1134733884 | Sushant Niroula | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1124632864 | Sachin Bhandari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1720692585 | Dhruv Patel | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
| 1447864293 | Amit Mishra | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7697 | 2020-08-31 |
| 1912511775 | Yakoot Muhammad Khan | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| 1881177533 | Hudson River Healthcare, Inc. | Clinic/Center | 459 East 149th Street, The Hub Health Center, Bronx, NY 10455-1314 | 2018-09-10 |
| 1720561517 | Hudson River Healthcare, Inc. | Clinic/Center | 226 East 144th Street, Brightpoint Health Citiwide, Bronx, NY 10451-5909 | 2018-09-08 |
| 1023503927 | Urban Health Plan, Inc. | Clinic/Center | 1000 Jennings St, Bronx, NY 10460-6099 | 2018-06-25 |
| 1669912341 | Morris Heights Health Center, Inc. | Clinic/Center | 1227 Edward L Grant Hwy, Bronx Medical and Wellness Center, Bronx, NY 10452-3101 | 2017-03-01 |
| 1104374685 | Morris Heights Health Center, Inc. | Clinic/Center | 825 E 233rd St, Bronx, NY 10466-3203 | 2016-09-14 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1659754885 | Union Community Health Center, Inc. | Clinic/Center | 2101 Quarry Road, Bronx, NY 10457-2594 | 2015-07-07 |
| 1740679695 | Care for The Homeless | Clinic/Center | 800 Barretto St, Bronx, NY 10474-5304 | 2015-01-15 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.