MS. AMA B DEGRAFT-JOHNSON (NPI# 1720312598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720312598 |
| Entity Type | Individual |
| Full Name | MS. AMA B DEGRAFT-JOHNSON |
| Credential | M.D. |
| Practice Address |
960 Southern Blvd Bronx NY 10459-3402 |
| Mailing Address |
1065 Southern Blvd Bronx NY 10459-2417 |
| Practice Telephone | 7185892440 |
| Mailing Telephone | 7185892440 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
248702 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
960 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10459-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689792632 | Kisalyn Dawn Michael | Social Worker | 960 Southern Blvd, Bronx, NY 10459-3402 | 2007-03-27 |
| 1154966836 | Melissa Jean Montalvo | Physician Assistant | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-11-17 |
| 1659914851 | Nyla Hashim | Nurse Practitioner | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-10-21 |
| 1225686678 | Victoria M Del Toro | Social Worker | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-08-29 |
| 1760940985 | Chrismary A Cepeda | Nutritionist | 960 Southern Blvd, Bronx, NY 10459-3402 | 2019-03-06 |
| 1699072686 | Urban Health Plan, Inc | Clinic/Center | 960 Southern Blvd, Bronx, NY 10459-3402 | 2011-02-28 |
| 1902038870 | Gladys Yaneth Raveneau | Pediatrics | 960 Southern Blvd, Bronx, NY 10459-3402 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891929311 | Divino Nino Pediatrics | Pediatrics | 557 E Fordham Rd, Bronx, NY 10458-5001 | 2009-05-12 |
| 1558524751 | Jennifer I Davis | Pediatrics | 240 E 172nd St, B-100, Bronx, NY 10457-8903 | 2008-07-08 |
| 1104983592 | Cynthia Lewis | Pediatrics | 2737 Third Avenue, Bronx Care, Bronx, NY 10451 | 2007-01-03 |
| 1932282779 | Arthur Hall | Pediatrics | 3018 Colden Ave, Bronx, NY 10469-3946 | 2006-10-23 |
| 1457441487 | Juan Jose Pilarte | Pediatrics | 1001 Grand Concourse Apt 1e, Bronx, NY 10452-9122 | 2006-10-13 |
| 1538256060 | Luis Alberto Rivera | Pediatrics | 1162 Elder Ave, Bronx, NY 10472-3501 | 2006-10-06 |
| 1679660286 | Jose Tomas Aponte Rodriguez | Pediatrics | 1870 Grand Concourse Fl 3, Bronx, NY 10457-5402 | 2006-10-06 |
| 1588670194 | Tatyana Kizelshteyn | Pediatrics | 2134 Barnes Ave, Bronx, NY 10462-1902 | 2006-08-01 |
| 1225044878 | Gerson Gluck | Pediatrics | 1118 Esplanade Ave, Bronx, NY 10461-1210 | 2006-08-01 |
| 1114968708 | Peter A Masella | Pediatrics | 603 E 187th St, Bronx, NY 10458-6700 | 2006-06-08 |
| 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.