DIVINITY PHYSICIAN SERVICES PLLC (NPI# 1962935163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962935163 |
| Entity Type | Organization |
| Organization Name | DIVINITY PHYSICIAN SERVICES PLLC |
| Other Organization Name | AFC URGENT CARE |
| Practice Address |
332 E 149th St Bronx NY 10451-5606 |
| Practice Telephone | 3473294010 |
| Practice Fax Number | 3473294009 |
| Mailing Telephone | 3473294010 |
| Mailing Fax Number | 3473294009 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. RAJESH GUPTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9148449803 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
197245 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AFC Urgent Care | Doing Business As Name - Organization |
| Street Address |
332 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285178814 | Manual Approach Physical Therapy PC | Clinic/Center | 332 E 149th St, Suite 200, Bronx, NY 10451-5606 | 2016-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1932708773 | City Medical of Upper East Side, Pllc | Clinic/Center | 3780 E Tremont Ave, Bronx, NY 10465-2434 | 2020-10-22 |
| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1477197796 | City Medical of Upper East Side, Pllc | Clinic/Center | 1047 Southern Blvd, Bronx, NY 10459-3427 | 2019-10-30 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1881115822 | Doctor Urgent Medical Care, Pllc | Clinic/Center | 538 East Fordham Road, Bronx, NY 10458-5015 | 2017-06-29 |
| 1578098521 | Rh Medical Professional Pllc | Clinic/Center | 3750b 3rd Ave, Bronx, NY 10456-2102 | 2017-04-27 |
| 1093246274 | Bronx Urgent Care, P.C. | Clinic/Center | 1733 E 174th St, Bronx, NY 10472-1801 | 2017-03-21 |
| 1417365461 | Harlem Urgent Care | Clinic/Center | 210 E 201st St Apt 6b, Bronx, NY 10458-1858 | 2014-07-22 |
| 1770885808 | Urgent Care Physician of New York-hartsdale Pllc | Clinic/Center | 843 Hutchinson River Pkwy, Bronx, NY 10465-1818 | 2010-11-22 |
| 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.