BRONX COMMUNITY MEDICINE, PLLC (NPI# 1942645247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942645247 |
| Entity Type | Organization |
| Organization Name | BRONX COMMUNITY MEDICINE, PLLC |
| Practice Address |
2676 Grand Concourse # A Bronx NY 10458-4914 |
| Mailing Address |
2676 Grand Concourse A Bronx NY 10458-4914 |
| Practice Telephone | 7187084040 |
| Practice Fax Number | 7187086040 |
| Mailing Telephone | 7187084040 |
| Mailing Fax Number | 7187086040 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. YOHANNA MARIA OLIVO MERCEDES (MD) |
| Authorized Official Telephone | 3472043437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
266860 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003250800 | 05 | |
| NJ | 0333794 | 05 | |
| NJ | MEDICARE PTAN | 268781YH9B. | 01 |
| NY | MEDICARE PTAN | A100097539 | 01 |
| Street Address |
2676 GRAND CONCOURSE # A |
| City | BRONX |
| State | NY |
| Zip Code | 10458-4914 |
| 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 | 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 |
| 1699032268 | Rs Medical Office P C | Clinic/Center | 2152 Starling Ave, Bronx, NY 10462-4303 | 2012-04-19 |
| 1205092129 | Montefiore Medical Center | Clinic/Center | 2115 Starling Ave, Bronx, NY 10462-4307 | 2008-07-30 |
| 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.