MONTEFIORE MEDICAL CENTER (NPI# 1538243209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538243209 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC TREMONT PRACTICE |
| Practice Address |
3219 E Tremont Ave Bronx NY 10461-5751 |
| Mailing Address |
100 Corporate Dr Mmc -cmo Yonkers NY 10701-6807 |
| Practice Telephone | 7187928115 |
| Mailing Telephone | 9143786021 |
| Mailing Fax Number | 9147090386 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | MICHAEL G. DOWLING (DIR. OF PROV. SVCS. & NTWRK CONTRAC) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMC Tremont Practice | 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 |
3219 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10461-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871517177 | Francis J Porreca | Surgery | 3219 E Tremont Ave, Ste 1, Bronx, NY 10461-5751 | 2006-07-27 |
| 1639412018 | Eric Benjamin Trestman | Surgery | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2013-04-03 |
| 1235413139 | Avrille Y Davis | Clinical Nurse Specialist | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2011-10-11 |
| 1265723522 | Tara N. Luyster | Physician Assistant | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2011-04-21 |
| 1306099320 | Empire State Orthopaedics, Pllc | Orthopaedic Surgery | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2008-11-04 |
| 1427227743 | Nyconn Orthopaedic & Rehabilitation Specialists, Pllc | Physical Medicine & Rehabilitation | 3219 E Tremont Ave, Bronx, NY 10461-5751 | 2008-02-21 |
| 1942420427 | Lorna Perez Saa | Specialist | 3219 E Tremont Ave, Complete Spinal Rehabilitation, Ll3, Bronx, NY 10461-5751 | 2007-04-26 |
| 1386715787 | Sancor Medical Enterprises LLC | Radiology | 3219 E Tremont Ave, Ll2, Bronx, NY 10461-5751 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1124524970 | Fordham Professional Medical Services of New York LLC | Surgery | 11 E Fordham Rd Ste A, Bronx, NY 10468-5406 | 2018-04-02 |
| 1205332905 | Fordham Medical of New York LLC | Surgery | 11 E Fordham Rd Ste B, Bronx, NY 10468-5406 | 2018-04-02 |
| 1366956260 | Foxhurst Professional Medical Services of New York LLC | Surgery | 947 Southern Blvd Ste A, Bronx, NY 10459-3401 | 2017-11-30 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1457873234 | Mott Haven Medical of New York LLC | Surgery | 384 E 149th St Ste 201, Bronx, NY 10455-3908 | 2017-07-12 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1861649055 | Anoushiravan Amini Hadjibashi | Surgery | 3400 Bainbridge Ave # 4311, Bronx, NY 10467-2404 | 2008-08-19 |
| 1588733232 | Teruo Hirose | Surgery | 5830 Tyndall Ave, Bronx, NY 10471-2108 | 2006-11-07 |
| 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.