BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER (NPI# 1437231693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437231693 |
| Entity Type | Organization |
| Organization Name | BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER |
| Practice Address |
1265 Franklin Ave 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 | 2006-10-19 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | MR. VICTOR G DEMARCO (SENIOR VP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7189018600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7000212R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00244573 | 05 | |
| NY | BLUE CROSS | W0437 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043518467 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 1591 Fulton Avenue, Bronx, NY 10457 | 2011-03-09 |
| 1073811485 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 1690 Bryant Avenue, Bronx, NY 10460 | 2011-03-09 |
| 1528366937 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 853 Tiffany Street, Bronx, NY 10459 | 2011-03-09 |
| 1588962906 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 2737-2741 3rd Avenue, Bronx, NY 10451 | 2011-03-09 |
| 1376898908 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 321 E Tremont Ave, Bronx, NY 10457 | 2012-07-19 |
| 1740558568 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 1067 Ogden Ave, Bronx, NY 10452 | 2011-12-07 |
| 1619275039 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 1775 Grand Concourse, Bronx, NY 10453 | 2011-03-09 |
| 1700184116 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 2432 Grand Concourse, Bronx, NY 10458 | 2011-03-09 |
| Street Address |
1265 FRANKLIN AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841208899 | Ojeponle A Durojaye | Internal Medicine | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2006-08-04 |
| 1679089726 | Rod Amazan | Psychiatry & Neurology | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2017-12-26 |
| 1497194591 | Maria E Reynoso-calderon | Psychiatry & Neurology | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2013-06-21 |
| 1811268998 | Susan Ann Marie Leung-yuen | Nutritionist | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2012-01-20 |
| 1215248372 | Paulina M Riess | Psychiatry & Neurology | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2010-06-23 |
| 1083934673 | Lyvia Solomon Larish | Pediatrics | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2010-06-04 |
| 1427297027 | Viola Gittens | Social Worker | 1265 Franklin Ave, 3rd Floor, Bronx, NY 10456-3501 | 2009-02-05 |
| 1538307632 | Robert Bones | Social Worker | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2009-01-27 |
| 1427257542 | Bridgette Wynter | Social Worker | 1265 Franklin Ave, Bronx, NY 10456-2401 | 2007-07-18 |
| 1255544086 | Wen Hsiang Chen | Internal Medicine | 1265 Franklin Ave, Bronx, NY 10456-3501 | 2007-05-08 |
| Find all providers in the same location | ||||
| 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... |
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|---|---|---|---|---|
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| 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.