PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI# 1063926962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063926962 |
| Entity Type | Organization |
| Organization Name | PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC |
| Practice Address |
2157 White Plains Rd Ste A Bronx NY 10462 |
| Mailing Address |
Po Box 32 Northbrook IL 60065-0032 |
| Practice Telephone | 7183011100 |
| Mailing Telephone | 7183011100 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | AMI ALMEDA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2243180118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
2157 WHITE PLAINS RD STE A |
| City | BRONX |
| State | NY |
| Zip Code | 10462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| 1174979967 | Medlock Inc. | Early Intervention Provider Agency | 1575 Unionport Road 3f, B Ronx, NY 10462 | 2016-05-11 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1124524970 | Fordham Professional Medical Services of New York LLC | Surgery | 11 E Fordham Rd Ste A, Bronx, NY 10468-5406 | 2018-04-02 |
| 1205332905 | Fordham Medical of New York LLC | Surgery | 11 E Fordham Rd Ste B, Bronx, NY 10468-5406 | 2018-04-02 |
| 1366956260 | Foxhurst Professional Medical Services of New York LLC | Surgery | 947 Southern Blvd Ste A, Bronx, NY 10459-3401 | 2017-11-30 |
| 1457873234 | Mott Haven Medical of New York LLC | Surgery | 384 E 149th St Ste 201, Bronx, NY 10455-3908 | 2017-07-12 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1861649055 | Anoushiravan Amini Hadjibashi | Surgery | 3400 Bainbridge Ave # 4311, Bronx, NY 10467-2404 | 2008-08-19 |
| 1588733232 | Teruo Hirose | Surgery | 5830 Tyndall Ave, Bronx, NY 10471-2108 | 2006-11-07 |
| 1164504320 | Kenneth A Goldstein | Surgery | Eastern Vascular Assoc, 3219 East Tremont Avenue, Bronx, NY 10461 | 2006-10-19 |
| 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.