MONTEFIORE MEDICAL CENTER (NPI# 1316301294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316301294 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | SATP |
| Practice Address |
2058 Jerome Ave Bronx NY 10453-1817 |
| Mailing Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 9175648775 |
| Practice Fax Number | 9175648785 |
| Mailing Telephone | 9175648775 |
| Mailing Fax Number | 9175648785 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | MR. MARTIN M BERNSTEIN (SENIOR DIRECTOR HSR) |
| Authorized Official Telephone | 7184054121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02998167 | 05 |
| Other Name | Type Code |
|---|---|
| SATP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1811412554 | Montefiore Medical Center | Clinic/Center | 1250 Waters Pl Ste 1201, Bronx, NY 10461-2735 | 2017-08-03 |
| 1093230732 | Montefiore Medical Center | Clinic/Center | 688 White Plains Rd Ste 222, Scarsdale, NY 10583-5015 | 2017-08-03 |
| 1649628074 | Montefiore Medical Center | General Acute Care Hospital | 110 East 210th St, Bronx, Bronx, NY 10467 | 2016-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MONTEFIORE MEDICAL CENTER | 111 East 210th Street, Bronx, New York 10467 |
| Street Address |
2058 JEROME AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313362 | Pamela A Mund | Internal Medicine | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2006-10-02 |
| 1316324478 | Stephanie Pagan | Counselor | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2015-04-28 |
| 1679915169 | Virginia Kelly Arlt Mutch | Student in an Organized Health Care Education/Training Program | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2013-07-24 |
| 1376821850 | Diane Chang | Internal Medicine | 2058 Jerome Ave, Bronx, NY 10453-1817 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722286 | Concourse Medical Center Inc | Clinic/Center | 880 Morris Ave, Bronx, NY 10451-3412 | 2007-05-22 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1891154886 | Montefiore Medical Center | Clinic/Center | 1510 Waters Pl, Bronx, NY 10461-2700 | 2016-02-18 |
| 1235501313 | Samaritan Daytop Village, Inc. | Clinic/Center | 477 Willis Ave, Bronx, NY 10455-4015 | 2015-10-28 |
| 1114305406 | Narco Freedom Inc. | Clinic/Center | 477 Willis Ave, Bronx, NY 10455-4015 | 2015-05-07 |
| 1285947754 | Albert Einstein College of Medicine of Yeshiva University | Clinic/Center | 804 E 138th St, Bronx, NY 10454-1902 | 2010-07-26 |
| 1891837910 | Yeshiva University | Clinic/Center | 1500 Waters Place, Bpc Betty Parker Bldg Wd 20 6th Fl, Bronx, NY 10461 | 2007-02-13 |
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| 1770885451 | The Guidance Center Cdtc | Clinic/Center | 20 Sickles Ave, New Rochelle, NY 10801-4030 | 2010-12-01 |
| 1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
| 1427125632 | Ses Operating Corp | Clinic/Center | 2367 -69 Second Ave, New York, NY 10035-3108 | 2006-11-30 |
| 1396843967 | Gramaercy Park Medical Group | Clinic/Center | 253 3rd Ave # 55, New York, NY 10010-7401 | 2006-09-20 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1083618672 | Buffalo Beacon Corporation | Clinic/Center | 3354 Sheridan Dr, Amherst, NY 14226-1439 | 2005-06-10 |
| 1437798824 | Sisters of Charity Hospital of Buffalo New York | Clinic/Center | 158 Holden St, Buffalo, NY 14214-2226 | 2020-01-02 |
| 1679050116 | Nancy Arroyo | Clinic/Center | 311 W 35th St, New York, NY 10001-1701 | 2018-07-27 |
| Find all providers with the same taxonomy | ||||
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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.