BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER (NPI# 1588962906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588962906 |
Entity Type | Organization |
Organization Name | BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER |
Other Organization Name | BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE |
Practice Address |
2737-2741 3rd Avenue Bronx NY 10451 |
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 | 2011-03-09 |
Last Update Date | 2018-06-28 |
Authorized Official Name | MR. VICTOR G DEMARCO (SENIOR VP-CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7189018600 |
Authorized Official Credential | CPA |
Is Organization Subpart | Y |
Parent Organization Name | BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER |
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 | BLUE CROSS | W0437 | 01 |
NY | 03410588 | 05 |
Other Name | Type Code |
---|---|
BronxCare Third Avenue Medical & Dental Practice | Doing Business As Name - Organization |
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 |
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 |
1437231693 | Bronxcare Dr. Martin Luther King Jr. Health Center | Clinic/Center | 1265 Franklin Ave, Bronx, NY 10456 | 2006-10-19 |
Street Address |
2737-2741 3RD AVENUE |
City | BRONX |
State | NY |
Zip Code | 10451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
Find all providers in zip 10451 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
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.