MONTEFIORE MEDICAL CENTER (NPI# 1699930974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699930974 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC MEDICAL VILLAGE AT BRONX RIVER |
| Practice Address |
4170 Bronx Blvd Bronx NY 10466-2656 |
| Mailing Address |
100 Corporate Dr Yonkers NY 10701-6807 |
| Practice Telephone | 9143786163 |
| Practice Fax Number | 9147090386 |
| Mailing Telephone | 9143786163 |
| Mailing Fax Number | 9147090386 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | MICHAEL G. DOWLING (DIRECTOR PROVIDER SERVICES) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MMC Medical Village at Bronx River | 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 |
4170 BRONX BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10466-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817475 | Angela E Gonzalez | Obstetrics & Gynecology | 4170 Bronx Blvd, Bronx, NY 10466-2656 | 2006-07-05 |
| 1659537538 | Montefiore Medical Center | Clinic/Center | 4170 Bronx Blvd, Bronx, NY 10466-2656 | 2008-07-31 |
| 1124148044 | Woodlawn Neurological Associates | Psychiatry & Neurology | 4170 Bronx Blvd, Bronx, NY 10466-2656 | 2007-04-02 |
| 1851439806 | Uma Ratakonda | Obstetrics & Gynecology | 4170 Bronx Blvd, Bronx, NY 10466-2656 | 2007-02-02 |
| 1740371392 | Clelia E Moline | Obstetrics & Gynecology | 4170 Bronx Blvd, Bronx, NY 10466-2656 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039964 | Gisha Cherappuram | Nurse Practitioner | 4334 White Plains Rd, The Bronx, NY 10466 | 2020-06-26 |
| 1518582980 | Robbie Veriker | Student in an Organized Health Care Education/Training Program | 600 E 233rd St., The Bronx, NY 10466 | 2020-06-11 |
| 1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
| 1407499361 | Shanell Smith | Licensed Practical Nurse | 772 E 223rd St, Bronx, NY 10466 | 2019-10-23 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1346710431 | Nereid Rx Corp | Pharmacy | 4396 White Plains Rd, Bronx, NY 10466 | 2018-11-30 |
| 1285102137 | Purple Dove Community Care Agency | Home Health | 728 East 233 Street, Bronx, NY 10466 | 2018-11-08 |
| 1174098305 | Jamila Berma | Assistant Behavior Analyst | 4222 Monticello.ave, Bronx, NY 10466 | 2018-10-03 |
| 1659869477 | Bunche Consulting LLC | Specialist | 2015 Pitmanavenue, Bronx, NY 10466 | 2018-04-26 |
| 1275050122 | Dahlia T Williams | Home Health Aide | 1060 East 229 St., Bronx, NY 10466 | 2017-08-22 |
| Find all providers in zip 10466 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1275026635 | Kingsbridge Medical Services, Pllc | Clinic/Center | 5546 Broadway, Bronx, NY 10463-5250 | 2018-06-11 |
| 1083102008 | Maxwell Apenteng | Clinic/Center | 1248 E 224th St Apt 2, Bronx, NY 10466-5806 | 2018-04-25 |
| 1164941209 | Crisis Recovery Network, LLC | Clinic/Center | 2800 Bruckner Blvd Ste 302, Bronx, NY 10465-1972 | 2017-09-10 |
| 1710365622 | Stephanie Ann Salas Md Pllc | Clinic/Center | 1200 Waters Pl Ste 102, Bronx, NY 10461-2729 | 2015-05-12 |
| 1184011892 | Gracelife Family Health Np PC | Clinic/Center | 4027 Amundson Ave Fl 1, Bronx, NY 10466-2330 | 2015-04-20 |
| 1366834186 | Flora Antwi Np In Family Health PC | Clinic/Center | 3586 Boston Rd, Bronx, NY 10469-2519 | 2015-03-03 |
| 1942645247 | Bronx Community Medicine, Pllc | Clinic/Center | 2676 Grand Concourse # A, Bronx, NY 10458-4914 | 2013-05-01 |
| 1699032268 | Rs Medical Office P C | Clinic/Center | 2152 Starling Ave, Bronx, NY 10462-4303 | 2012-04-19 |
| 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.