OUR LADY OF MERCY MEDICAL CENTER (NPI# 1508074261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508074261 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF MERCY MEDICAL CENTER |
| Practice Address |
4401 Bronx Blvd Bronx NY 10470-1407 |
| Practice Telephone | 7173047000 |
| Practice Fax Number | 7183047065 |
| Mailing Telephone | 7173047000 |
| Mailing Fax Number | 7183047065 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AHMED HAKKI (CHIF PSYCHIATRIST, AMBULATORY PSYCH) |
| Authorized Official Telephone | 7173047000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 101796 | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00337013 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598952566 | Our Lady of Mercy Medical Center | Psychiatric Hospital | 253 80th St, Brooklyn, NY 11209-3611 | 2007-10-03 |
| 1881805430 | Our Lady of Mercy Medical Center | General Acute Care Hospital | 600 E 233rd St, Bronx, NY 10466-2604 | 2007-05-25 |
| 1689893133 | Our Lady of Mercy Medical Center | General Acute Care Hospital | 600 East 233rd St., Diabetes Clinic Mercy Community Care, Bronx, NY 10466 | 2007-04-24 |
| 1255354247 | Our Lady of Mercy Medical Center | Pharmacy | 600 E 233rd St, Bronx, NY 10466-2604 | 2006-07-25 |
| 1669412847 | Our Lady of Mercy Medical Center | Emergency Medicine | 600 E 233rd St, Bronx, NY 10466-2604 | 2006-06-07 |
| 1235137431 | Our Lady of Mercy Medical Center | General Acute Care Hospital | 600 E 233rd St, Bronx, NY 10466-2604 | 2005-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OUR LADY OF MERCY MEDICAL CENTER | 600 East 233rd Street, Bronx, New York 10466 |
| Street Address |
4401 BRONX BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10470-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659469120 | Bernadette E Traynor | Social Worker | 4401 Bronx Blvd, Our Lady of Mercy Mental Health Clinic, Bronx, NY 10470 | 2006-10-10 |
| 1285231332 | Paula Elizabeth Haynes | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2020-10-01 |
| 1467069351 | Norma Jean Rodgers Solomon-el | Registered Nurse | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2020-09-25 |
| 1558982249 | Jessica Vasquez | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2020-05-04 |
| 1790241008 | Ivelis Schelmetty | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2019-02-12 |
| 1487135356 | Arelie E Marcial | Registered Nurse | 4401 Bronx Blvd, Bronx, NY 10470 | 2018-08-28 |
| 1225518806 | Tatiana Yvette Pagan | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2018-08-14 |
| 1790208338 | Lucie Schwartz | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2017-07-25 |
| 1275947657 | Scarlett Feliz | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2014-06-13 |
| 1962824987 | Aisha Alexis | Social Worker | 4401 Bronx Blvd, Bronx, NY 10470-1407 | 2014-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088850 | Veronica Lonati | Registered Nurse | 4250 Van Cortland Avenue Park East, Bronx, NY 10470 | 2019-02-06 |
| 1336625011 | Carefirst Pharmacy Services Inc | Pharmacy | 4649-4653 White Plains Road, Bronx, NY 10470 | 2018-07-16 |
| 1043740095 | Dana George | Registered Nurse | 4509 Carpenter Avenue, Bronx, NY 10470 | 2017-06-13 |
| 1356877799 | Kristoffer Leonard Castro | Physical Therapist | 552 East 240th St, Bronx, NY 10470 | 2017-05-04 |
| 1851748032 | Dorothy Avery Saunders-smith | Registered Nurse | 4401 Bronx Blvd., Bronx, NY 10470 | 2016-05-18 |
| 1811343981 | Nadine Brown-vassell | Licensed Practical Nurse | 4756 Richardson Avenue, Bronx, NY 10470 | 2016-05-09 |
| 1700230505 | Aminat Adetoun Akintola | Registered Nurse | 801 E 214st Street, Bronx, NY 10470 | 2016-04-18 |
| 1306200134 | Yanisse Toure | Licensed Practical Nurse | 801 East 241 Street, Bronx, NY 10470 | 2016-04-07 |
| 1083077804 | Christelle Bakayoko I | Licensed Practical Nurse | 801 E 241st Street, Bronx, NY 10470 | 2016-03-30 |
| 1174984991 | Sharon Siaw | Registered Nurse | 801-815 E 241st Street, Bronx, NY 10470 | 2016-03-08 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1205063740 | Bronx Psychiatric Center | Psychiatric Unit | 1500 Waters Pl, Bronx, NY 10461-2723 | 2009-06-11 |
| 1871748251 | St. Barnabas Hospital | Psychiatric Unit | 2021 Grand Concourse, Bronx, NY 10453-4304 | 2008-11-26 |
| 1336390814 | Montefiore Medical Center | Psychiatric Unit | 111 E 210th St, Mmc Mbcipa- Department of Psychiatry, Bronx, NY 10467-2401 | 2008-10-02 |
| 1073770277 | Montefiore Med Ctr-klau2 Psych | Psychiatric Unit | 111 E 210th St, Bronx, NY 10467-2401 | 2008-05-16 |
| 1306065727 | Carthage Area Hospital | Psychiatric Unit | 600 E 233rd St, Bronx, NY 10466-2604 | 2007-04-24 |
| 1871642488 | Fordham Tremont Community Mental Health Center | Psychiatric Unit | 260 E 188th St, 5th Floor, Bronx, NY 10458-5302 | 2007-01-10 |
| 1083796213 | Bronxcare Health System | Psychiatric Unit | 1276 Fulton Ave, Bronx, NY 10456 | 2006-10-19 |
| 1679587679 | New York City Health and Hospitals Corporation | Psychiatric Unit | 1400 Pelham Pkwy S, Bldg 2 - Staff Hs Rm.324/sh, Bronx, NY 10461-1138 | 2006-07-28 |
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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.