COMMUNITY HEALTHCARE NETWORK, INC. (NPI# 1639459142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639459142 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE NETWORK, INC. |
| Practice Address |
4215 3rd Ave 2nd Floor Bronx NY 10457-4501 |
| Mailing Address |
60 Madison Ave 5th Floor New York NY 10010-1600 |
| Practice Telephone | 7182945891 |
| Practice Fax Number | 7182942468 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MICHELLE DJIBO (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 2125452439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7002119R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695941 | 05 |
| Other Name | Type Code |
|---|---|
| Tremont Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436858 | Community Healthcare Network, Inc. | Clinic/Center | 504 W. 158th Street, 5th Floor, Room 511, New York, NY 10032-7202 | 2017-06-05 |
| 1326525338 | Community Healthcare Network, Inc. | Clinic/Center | 2581 Atlantic Ave, Brooklyn, NY 11207 | 2018-07-23 |
| 1720581697 | Community Healthcare Network, Inc. | Pharmacy | 3611 21st St, Long Island City, NY 11106 | 2018-03-16 |
| 1124396874 | Community Healthcare Network, Inc. | Clinic/Center | 9004 161st St, 5th Floor, Jamaica, NY 11432-6141 | 2011-12-09 |
| 1952542771 | Community Healthcare Network, Inc. | Clinic/Center | 36-11 21st St, Long Island City, NY 11106 | 2009-03-09 |
| 1023185725 | Community Healthcare Network, Inc. | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| 1699842500 | Community Healthcare Network, Inc. | Clinic/Center | 150 Essex St, New York, NY 10002-2301 | 2006-11-29 |
| 1811064744 | Community Healthcare Network, Inc. | Clinic/Center | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2006-11-29 |
| 1184791923 | Community Healthcare Network, Inc. | Clinic/Center | 97-04 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTHCARE NETWORK, INC. | 60 Madison Ave 5th Fl, New York, NY 10010-1600 |
| New York State Corporations | COMMUNITY HEALTHCARE NETWORK, INC. | 60 Madison Avenue, 5th Floor, New York, Ny 10010 |
| Street Address |
4215 3RD AVE 2ND FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10457-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114965019 | Yulya Timashpolsky | Internal Medicine | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2006-06-03 |
| 1225589252 | Anna Rickards I | Dietitian, Registered | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2016-10-14 |
| 1306233234 | Jade Nicole Spencer | Nurse Practitioner | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2015-04-17 |
| 1548675671 | Karene Cime | Nurse Practitioner | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2014-06-27 |
| 1760896500 | Riabianca Garcia | Family Medicine | 4215 3rd Ave, Bronx, NY 10457-4501 | 2014-06-19 |
| 1396046918 | Natalee Marie Bussoletti | Nurse Practitioner | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2010-11-12 |
| 1194916858 | Public Health Solutions | Clinic/Center | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2007-08-07 |
| 1750489423 | Lawrence D Kramer | Obstetrics & Gynecology | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| 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.