MMC AT MARTHA NIELSON HIGH SCHOOL (NPI# 1386838043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386838043 |
| Entity Type | Organization |
| Organization Name | MMC AT MARTHA NIELSON HIGH SCHOOL |
| Practice Address |
1010 Rev J A Polite Avenue Mmc At Martha Nielson High School Bronx NY 10459-3053 |
| Mailing Address |
100 Corporate Drive Cmo 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 |
|---|---|---|---|---|
| 1457546772 | Mmc At Martha Nielson High School | Clinic/Center | Mmc At Martha Nielson High School, 1010 Rev J A Polite Avenue, Bronx, NY 10459-3053 | 2007-09-10 |
| Street Address |
1010 REV J A POLITE AVENUE MMC AT MARTHA NIELSON HIGH SCHOOL |
| City | BRONX |
| State | NY |
| Zip Code | 10459-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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 |
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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.