MMC MEDICAL ARTS PAVILLION (NPI# 1346435682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346435682 |
| Entity Type | Organization |
| Organization Name | MMC MEDICAL ARTS PAVILLION |
| Practice Address |
3400 Bainbridge Avenue Mmc Medical Arts Pavillion Bronx NY 10467-2404 |
| Mailing Address |
100 Corporate Drive Cmo Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285828954 | Mmc Medical Arts Pavillion | Clinic/Center | Mmc Medical Arts Pavillion, 3400 Bainbridge Avenue, Bronx, NY 10467-2404 | 2007-09-05 |
| Street Address |
3400 BAINBRIDGE AVENUE MMC MEDICAL ARTS PAVILLION |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821037961 | Jooyoung Julia Shin | Internal Medicine | 3400 Bainbridge Avenue, Center for Advanced Cardiac Therapy, Map 7, Bronx, NY 10467 | 2006-06-05 |
| 1821500992 | Jasmine Thalappillil | Nurse Practitioner | 3400 Bainbridge Avenue, Lower Level Suite 400, Bronx, NY 10467-2404 | 2017-10-30 |
| 1962790188 | Vahila Pamidimukkala | Anesthesiology | 3400 Bainbridge Avenue, 4th Floor, Bronx, NY 10467 | 2011-07-21 |
| 1073741229 | Sasa Vukelic | Internal Medicine | 3400 Bainbridge Avenue, Map Building 7th Floor Advanced Heart Failure and Trans, Bronx, NY 10467 | 2009-06-26 |
| 1417160839 | Isaac Hammond Jr. | Physician Assistant | 3400 Bainbridge Avenue, 5th Floor Dept. Ctsurgery, Bronx, NY 10467 | 2007-05-08 |
| 1407970783 | Jo Anna Denobile | Physician Assistant | 3400 Bainbridge Avenue, Mmc - Dept of Ct Surgery, Bronx, NY 10467 | 2007-03-19 |
| 1902947450 | Michael David Hossack | Orthopaedic Surgery | 3400 Bainbridge Avenue, 6th Floor, Bronx, NY 10467 | 2007-02-09 |
| 1881731479 | Cheng Zhang | Ophthalmology | 3400 Bainbridge Avenue, Bronx, NY 10467 | 2007-01-31 |
| 1922153618 | Roger Dale Swayze | Registered Nurse | 3400 Bainbridge Avenue, Bronx, NY 10467 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093367 | Alegria Operating LLC | Clinic/Center | 3475 Third Ave, Bronx, NY 10456-4811 | 2016-06-09 |
| 1093142861 | Dedicated Acquisition Strategies Inc | Clinic/Center | 682-684 E 233rd Street, Bronx, NY 10466 | 2013-10-10 |
| 1326337890 | Valley Medical Services, P.C. | Clinic/Center | 3000 Eastchester Rd, Bronx, NY 10469-3202 | 2011-04-05 |
| 1548490766 | Montefiore Medical Center | Clinic/Center | 1521 Jarrett Pl, Bronx, NY 10461-2606 | 2009-07-22 |
| 1639309982 | Montefiore Medical Center | Clinic/Center | 1754 Randall Avenue, Mmc Aecom Substance Abuse, Bronx, NY 10473 | 2009-07-21 |
| 1780819540 | Bronx Pulmonary Center LLC | Clinic/Center | 441 E Tremont Ave, Bronx, NY 10457-4301 | 2009-05-22 |
| 1851580872 | Mmc At 3514 Wayne Avenue | Clinic/Center | Mmc At 3514 Wayne Avenue, 3514 Wayne Avenue, Bronx, NY 10467-1564 | 2007-10-16 |
| 1083809263 | Mmc Jarret Place Practice | Clinic/Center | 1516 Jarret Place, Mmc Jarret Place Practice, Bronx, NY 10461-2607 | 2007-09-11 |
| 1437344611 | Mmc Jamaica Assessment Center | Clinic/Center | 175-10 88th Avenue, Mmc Jamaica Assessment Center, Bronx, NY 11432-5720 | 2007-09-11 |
| 1629263801 | Mmc Johnson Avenue Practice | Clinic/Center | 3510 Johnson Avenue, Mmc Johnson Avenue Practice, Bronx, NY 10463-1603 | 2007-09-11 |
| 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.