MONTEFIORE MEDICAL CENTER (NPI# 1356665426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356665426 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC AT PS 64 |
| Practice Address |
1425 Walton Ave Bronx NY 10452-6901 |
| Practice Telephone | 7186818088 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | MICHAEL DOWLING (DIR PROVIDER SERVICES) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MMC at PS 64 | 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 |
1425 WALTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10452-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013098425 | Melinda A. Lando | Nurse Practitioner | 1425 Walton Ave, P.s. 64 School Based Clinicbronxlebanon Hospital, Bronx, NY 10452-6901 | 2006-10-19 |
| 1811468168 | Jossy Gramajo | Speech-Language Pathologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2018-12-16 |
| 1528535499 | Shiran Nagar | Speech-Language Pathologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2018-10-30 |
| 1235455288 | Igda Martinez | Psychologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2010-04-15 |
| 1376628495 | Jacqueline M Kelderhouse | Nurse Practitioner | 1425 Walton Ave, Montefiore School Clinic, Bronx, NY 10452-6901 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| 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 |
| 1164768206 | Montefiore Medical Center | Clinic/Center | 1501 Jerome Ave, Bronx, NY 10452-3309 | 2012-12-18 |
| 1518433440 | Montefiore Medical Center | Clinic/Center | 1449 Shakespeare Ave, Bronx, NY 10452-1800 | 2018-10-18 |
| 1386130250 | Montefiore Medical Center | Clinic/Center | 1180 Tinton Ave, Bronx, NY 10456-5436 | 2018-07-03 |
| 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.