BRONX PARK MEDICAL SURGICAL ASSOCIATES PC (NPI# 1043410269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043410269 |
| Entity Type | Organization |
| Organization Name | BRONX PARK MEDICAL SURGICAL ASSOCIATES PC |
| Practice Address |
2016 Bronxdale Ave Suite 202 Bronx NY 10462-3388 |
| Practice Telephone | 7188638695 |
| Practice Fax Number | 7188635147 |
| Mailing Telephone | 7188638695 |
| Mailing Fax Number | 7188635147 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | STEPHEN DIRUSSO (PRESIDENT) |
| Authorized Official Telephone | 7189606126 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE GROUP PROVIDER # | W38541 | 01 |
| Street Address |
2016 BRONXDALE AVE SUITE 202 |
| City | BRONX |
| State | NY |
| Zip Code | 10462-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233790 | David Fagan | Pediatrics | 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 | 2005-05-28 |
| 1316467723 | Md Rezaul Hoque | Internal Medicine | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2017-06-27 |
| 1568847952 | Union Community Health Center, Inc. | Clinic/Center | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2015-07-27 |
| 1992938534 | Sapna Prabhakaran | Pediatrics | 2016 Bronxdale Ave, Suite 203, Bronx, NY 10462-3388 | 2009-08-31 |
| 1770718504 | Bronx Park Dental PC | Dentist | 2016 Bronxdale Ave, #303, Bronx, NY 10462-3388 | 2009-05-22 |
| 1669612966 | Marc Vital-herne Physician,p.c | Psychiatry & Neurology | 2016 Bronxdale Ave, Suite # 101, Bronx, NY 10462-3388 | 2009-02-26 |
| 1104024116 | New York Urological Services, P.C. | Urology | 2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388 | 2007-07-11 |
| 1053526509 | Bronx Park Rehabilitation & Sports Medicine PC | Specialist | 2016 Bronxdale Ave, Suite 101, Bronx, NY 10462-3388 | 2007-05-10 |
| 1528104825 | George J. Cisneros | Dentist | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-30 |
| 1376699702 | Stuart Remer, Md | Orthopaedic Surgery | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073889085 | Shruti Sharma | Surgery | 6255 Broadway Apt 5b, Bronx, NY 10471 | 2012-03-25 |
| 1518292531 | Dag Medical, PC | Surgery | 3411 White Plains Rd, Bronx, NY 10467-5704 | 2009-10-08 |
| 1093945875 | Srinivas H Reddy | Surgery | 1400 Pelham Pkwy S., Bldg #1, Suite 1213 Jacobi Medical Center, Bronx, NY 10461 | 2009-07-15 |
| 1043452964 | Jeannine K Giacovelli | Surgery | 158r Hawkins St., Bronx, NY 10464 | 2009-03-25 |
| 1487810289 | Robert L Plummer Md Facs PC | Surgery | 176 E Mosholu Pk Wy S, Bronx, NY 10458-1174 | 2008-07-31 |
| 1356530539 | Sergio L. Baerga | Surgery | 3400 Bainbridge Ave. 4th Floor, Montefiore Medical Center - Department of Surgery, Bronx, NY 10467-2401 | 2007-10-23 |
| 1265557185 | Edward Hatfield Lowe Jr. | Surgery | 30 Pilot St, Bronx, NY 10464-1630 | 2007-03-20 |
| 1073645495 | Walter J.b. Hodgson | Surgery | 1575 Blondell Avenue, Ste. 125, Montefiore Medical Park, Bronx, NY 10461 | 2007-03-12 |
| 1154409852 | Matthew L Genovese | Surgery | 3257 Waterbury Ave, Bronx, NY 10465-1464 | 2006-11-01 |
| 1669557625 | Harold Brem | Surgery | 2500 Johnson Ave, Apt. 3d, Bronx, NY 10463-4925 | 2006-10-26 |
| 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.