CEDI MEDICAL OFFICE PLLC (NPI# 1992310411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992310411 |
| Entity Type | Organization |
| Organization Name | CEDI MEDICAL OFFICE PLLC |
| Practice Address |
3097 Villa Ave Bronx NY 10468-1355 |
| Mailing Address |
775 Concourse Vlg E Apt 20k Bronx NY 10451-3960 |
| Practice Telephone | 7182200900 |
| Practice Fax Number | 7187336773 |
| Mailing Telephone | 3478544307 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | DR. KWABENA BOAKYE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3478544307 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3097 VILLA AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10468-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073745659 | Kwabena Boakye | Family Medicine | 3097 Villa Ave, Bronx, NY 10468-1355 | 2009-08-17 |
| 1700304102 | Rhema Pt Rehabilitation PC | Physical Therapist | 3097 Villa Ave, Bronx, NY 10468-1355 | 2017-09-06 |
| 1528406428 | New Horizon Medical Offices PC | Surgery | 3097 Villa Ave, Bronx, NY 10468 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439031 | Cargill Comprehensive Care Services | Family Medicine | 1054 E 231st St, Bronx, NY 10466-4806 | 2019-07-16 |
| 1346775640 | Elena Hill | Family Medicine | 1276 Fulton Ave Fl 1, Bronx, NY 10456-3402 | 2017-04-24 |
| 1700337508 | Mayte Montufar | Family Medicine | 2136 Muliner Ave Fl 1, Bronx, NY 10462-2003 | 2016-10-18 |
| 1306296561 | Stephen Asiedu Medical Practice, P.C. | Family Medicine | 1245b Edward L Grant Hwy, Bronx, NY 10452-3101 | 2016-06-20 |
| 1336595008 | Chantal Nathalie Ogle | Family Medicine | 1054 Simpson St, Bronx, NY 10459-2404 | 2016-05-11 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1235542549 | Welisane Bebe | Family Medicine | 1276 Fulton Ave, 4th Floor, Bronx Lebanon Hospital, Bronx, NY 10456 | 2014-06-04 |
| 1386081545 | Geoffrey Sheppard Dunn | Family Medicine | 68 E 161st St Fl 13, Bronx, NY 10451-2207 | 2013-05-29 |
| 1629413372 | Liliana Monica Taich | Family Medicine | 3050 Corlear Ave Ste 201, Bronx, NY 10463-5181 | 2013-05-08 |
| 1184968232 | Lwhmedical PC | Family Medicine | 1811 Hone Ave, Bronx, NY 10461-1406 | 2012-11-15 |
| 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.