VISTA MEDICAL (NPI# 1770991788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770991788 |
| Entity Type | Organization |
| Organization Name | VISTA MEDICAL |
| Practice Address |
2488 Grand Concourse Bronx NY 10458-5203 |
| Mailing Address |
1428 30th Ave Astoria NY 11102-3641 |
| Practice Telephone | 7187331000 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | DR. ABIOLA FAMILUSI (PHYSIATRIST) |
| Authorized Official Telephone | 3472561956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
032642 | NY | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vista Medical Billing LLC | 7310 W 52nd Ave, A206, Arvada, CO 80002 |
| System for Award Management (SAM) Entities | VISTA MEDICAL CENTER EAST | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| New York State Corporations | VISTA MEDICAL DIAGNOSTIC IMAGING, P.C. | 750 Third Avenue 29th Floor, New York, Ny 10017 |
| Oregon Corporations, Companies and Business Names | VISTA MEDICAL EXAMINER, LLC | 8196 Sw Hall Blvd, Suite 306, Beaverton, OR 97008 |
| New York State Corporations | VISTA MEDICAL REHABILITATION, P.C. | 529 Beach 20th St, Far Rockaway, Ny 11691 |
| Massachusetts Corporations | VISTA MEDICAL TRADING, LLC | 521 Mount Hope Street, North Attleboro, MA 02760 |
| Colorado Business Entities | Vista Medical, LLC | 3826 Sky Gazer Lane Unit B, Fort Collins, CO 80528 |
| Street Address |
2488 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10458-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992815369 | First-care of New York Inc. | Home Health | 2488 Grand Concourse, Suite #332, Bronx, NY 10458-5203 | 2006-08-30 |
| 1053918276 | Erela Pearl | Marriage & Family Therapist | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-10-01 |
| 1386268662 | Gisha Anto Paul | Clinical Nurse Specialist | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-06-03 |
| 1811521933 | Iliana Delacruz | Case Manager/Care Coordinator | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-02-27 |
| 1245862374 | Talier Doctor | Counselor | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-02-06 |
| 1508498718 | Micah Brewer | Counselor | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-02-05 |
| 1598397804 | Meagan Thompson | Social Worker | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2020-02-05 |
| 1477022408 | Daniella Cohen | Social Worker | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2018-11-20 |
| 1144721713 | Julia Crawford Rutkovsky | Social Worker | 2488 Grand Concourse, Bronx, NY 10458-5203 | 2018-02-27 |
| 1851803142 | Shifra Neustein | Student in an Organized Health Care Education/Training Program | 2488 Grand Concourse, Bronx, NY 10458 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006668 | Chang Health Physical Therapy P.C. | Clinic/Center | 2488 Grand Concourse # 206, Bronx, NY 10458-5203 | 2019-04-12 |
| 1801373592 | Care More Pt. PC. | Clinic/Center | 800 Saint Anns Ave, Bronx, NY 10456-7791 | 2018-07-25 |
| 1285178814 | Manual Approach Physical Therapy PC | Clinic/Center | 332 E 149th St, Suite 200, Bronx, NY 10451-5606 | 2016-12-16 |
| 1902255680 | High Point Physical Therapy P.C. | Clinic/Center | 1781 Jerome Ave, Bronx, NY 10453-5711 | 2016-06-03 |
| 1376900324 | Therapy | Clinic/Center | 66 Pell Pl, Bronx, NY 10464-1514 | 2016-01-21 |
| 1659752558 | Complete Spinal Physical Therapy | Clinic/Center | 2510 Westchester Ave Ste 104, Bronx, NY 10461-3585 | 2015-06-16 |
| 1346682374 | Melrose Physical Therapy P.C. | Clinic/Center | 897 Melrose Ave # A, Bronx, NY 10451-4172 | 2013-07-18 |
| 1013256346 | Ny Total Body Physical Therapy, Pllc | Clinic/Center | 906 E 180th St, Suite 201, Bronx, NY 10460-1916 | 2013-02-06 |
| 1801171822 | Ladybird Clinical Rehab Pt PC | Clinic/Center | 3167 E Tremont Ave # B, Bronx, NY 10461-5718 | 2011-10-21 |
| 1033490628 | Corepower Physical Therapy P.C. | Clinic/Center | 731 E 226th St, Bronx, NY 10466-4201 | 2011-09-08 |
| 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.