MMC MARBLE HILL PRACTICE (NPI# 1093909764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093909764 |
| Entity Type | Organization |
| Organization Name | MMC MARBLE HILL PRACTICE |
| Practice Address |
Mmc Marble Hill Practice 5525 Broadway Bronx NY 10463-5202 |
| Mailing Address |
Cmo 100 Corporate Drive Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTEFIORE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164617403 | Mmc Marble Hill Practice | Clinic/Center | 5525 Broadway, Mmc Marble Hill Practice, Bronx, NY 10463-5202 | 2007-09-10 |
| Street Address |
MMC MARBLE HILL PRACTICE 5525 BROADWAY |
| City | BRONX |
| State | NY |
| Zip Code | 10463-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1275026635 | Kingsbridge Medical Services, Pllc | Clinic/Center | 5546 Broadway, Bronx, NY 10463-5250 | 2018-06-11 |
| 1083102008 | Maxwell Apenteng | Clinic/Center | 1248 E 224th St Apt 2, Bronx, NY 10466-5806 | 2018-04-25 |
| 1164941209 | Crisis Recovery Network, LLC | Clinic/Center | 2800 Bruckner Blvd Ste 302, Bronx, NY 10465-1972 | 2017-09-10 |
| 1710365622 | Stephanie Ann Salas Md Pllc | Clinic/Center | 1200 Waters Pl Ste 102, Bronx, NY 10461-2729 | 2015-05-12 |
| 1184011892 | Gracelife Family Health Np PC | Clinic/Center | 4027 Amundson Ave Fl 1, Bronx, NY 10466-2330 | 2015-04-20 |
| 1366834186 | Flora Antwi Np In Family Health PC | Clinic/Center | 3586 Boston Rd, Bronx, NY 10469-2519 | 2015-03-03 |
| 1942645247 | Bronx Community Medicine, Pllc | Clinic/Center | 2676 Grand Concourse # A, Bronx, NY 10458-4914 | 2013-05-01 |
| 1699032268 | Rs Medical Office P C | Clinic/Center | 2152 Starling Ave, Bronx, NY 10462-4303 | 2012-04-19 |
| 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.