BRONXCARE HEALTH SYSTEM (NPI# 1306190558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306190558 |
| Entity Type | Organization |
| Organization Name | BRONXCARE HEALTH SYSTEM |
| Other Organization Name | FAMILY MEDICINE CENTER |
| Practice Address |
1276 Fulton Ave 3rd Floor Bronx NY 10456 |
| Mailing Address |
1276 Fulton Ave Bronx NY 10456-3402 |
| Practice Telephone | 7189018600 |
| Practice Fax Number | 7182931475 |
| Mailing Telephone | 7189018600 |
| Mailing Fax Number | 7182931475 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | MR. VICTOR G DEMARCO (SENIOR VP-CHIEF FINANCIAL OFFICIER) |
| 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 |
| Other Name | Type Code |
|---|---|
| Family Medicine Center | 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 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1053790147 | Bronxcare Health System | Clinic/Center | 1650 Grand Concourse, Bronx, NY 10457 | 2015-05-22 |
| 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 |
1276 FULTON AVE 3RD FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| 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.