MONTEFIORE MEDICAL CENTER (NPI# 1639309982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639309982 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC AECOM SUBSTANCE ABUSE |
| Practice Address |
1754 Randall Avenue Mmc Aecom Substance Abuse Bronx NY 10473 |
| Practice Telephone | 7189204321 |
| Mailing Telephone | 7189204321 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | MICHAEL G DOWLING (DIR. OF PROVIDER SERVICES & NETW) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MMC AECOM Substance Abuse | 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 |
1754 RANDALL AVENUE MMC AECOM SUBSTANCE ABUSE |
| City | BRONX |
| State | NY |
| Zip Code | 10473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868225 | Salome Anderson | Licensed Practical Nurse | 635 Kathhilll Avenue, Bronx, NY 10473 | 2019-12-19 |
| 1740704634 | Darnae Montgomery | Social Worker | 2001 Story Avenue Apt#2q, Bronx, NY 10473 | 2017-08-01 |
| 1285164889 | Exceptional Aba Services Inc. | Social Worker | 1809 Seward Ave, Bronx, NY 10473 | 2017-06-15 |
| 1306207600 | Dat Transportation Inc | Taxi | 650 Soundview Avenue, Bronx, NY 10473 | 2016-03-14 |
| 1568876688 | Yadira Salazar | Behavioral Analyst | 945 Underhill Ave Apt1010, Bronx, NY 10473 | 2014-06-17 |
| 1881023976 | Evette Onogwu | Licensed Practical Nurse | 1676 Seward Ave Apt3b, Bronx, NY 10473 | 2013-11-08 |
| 1265876155 | Starlight Ambulette | Non-emergency Medical Transport (VAN) | 2211 Turnbull Ave, Bronx, NY 10473 | 2013-04-22 |
| 1104164490 | Alexa Rosas | Speech-Language Pathologist | 920 Metcalf Ave Apt 14d, Bronx, NY 10473 | 2013-01-22 |
| 1063761567 | Wanda Santiago | Specialist | 1710 Lafayette Avenue, Apt 6h, Bronx, NY 10473 | 2012-08-30 |
| 1558693135 | Ebenezer Peprah | Dentist | 1850 Lafayette Avenue, , Apt#20g, Bronx, NY 10473 | 2010-02-05 |
| Find all providers in zip 10473 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093367 | Alegria Operating LLC | Clinic/Center | 3475 Third Ave, Bronx, NY 10456-4811 | 2016-06-09 |
| 1093142861 | Dedicated Acquisition Strategies Inc | Clinic/Center | 682-684 E 233rd Street, Bronx, NY 10466 | 2013-10-10 |
| 1326337890 | Valley Medical Services, P.C. | Clinic/Center | 3000 Eastchester Rd, Bronx, NY 10469-3202 | 2011-04-05 |
| 1548490766 | Montefiore Medical Center | Clinic/Center | 1521 Jarrett Pl, Bronx, NY 10461-2606 | 2009-07-22 |
| 1780819540 | Bronx Pulmonary Center LLC | Clinic/Center | 441 E Tremont Ave, Bronx, NY 10457-4301 | 2009-05-22 |
| 1851580872 | Mmc At 3514 Wayne Avenue | Clinic/Center | Mmc At 3514 Wayne Avenue, 3514 Wayne Avenue, Bronx, NY 10467-1564 | 2007-10-16 |
| 1083809263 | Mmc Jarret Place Practice | Clinic/Center | 1516 Jarret Place, Mmc Jarret Place Practice, Bronx, NY 10461-2607 | 2007-09-11 |
| 1437344611 | Mmc Jamaica Assessment Center | Clinic/Center | 175-10 88th Avenue, Mmc Jamaica Assessment Center, Bronx, NY 11432-5720 | 2007-09-11 |
| 1629263801 | Mmc Johnson Avenue Practice | Clinic/Center | 3510 Johnson Avenue, Mmc Johnson Avenue Practice, Bronx, NY 10463-1603 | 2007-09-11 |
| 1215122494 | Mmc Family Health Center At 193rd St | Clinic/Center | 360 East 193rd Street, Mmc Family Health Center At 193rd St, Bronx, NY 10458-4710 | 2007-09-11 |
| 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.