BRONXCARE HEALTH SYSTEM (NPI# 1053481192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053481192 |
| Entity Type | Organization |
| Organization Name | BRONXCARE HEALTH SYSTEM |
| Practice Address |
1276 Fulton Ave Bronx NY 10456 |
| Mailing Address |
1276 Fulton Ave Bronx NY 10456-3402 |
| Practice Telephone | 7189018600 |
| Practice Fax Number | 7182931475 |
| Mailing Telephone | 7189018600 |
| Mailing Fax Number | 7182931475 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. VICTOR G DEMARCO (SENIOR VP-CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7189018600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
7000001H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01571860 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1710393376 | Bronxcare Health System | General Acute Care Hospital | 742-744 Kelly Street, Bronx, NY 10455 | 2014-07-03 |
| 1306190558 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave 3rd Floor, Bronx, NY 10456 | 2012-11-08 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1053790147 | Bronxcare Health System | Clinic/Center | 1650 Grand Concourse, Bronx, NY 10457 | 2015-05-22 |
| 1053707091 | Bronxcare Health System | Clinic/Center | 1650 Grand Concourse, Bronx, NY 10457 | 2015-04-07 |
| 1871999359 | Bronxcare Health System | Pathology | 1276 Fulton Ave, Room 208, Bronx, NY 10456 | 2014-11-12 |
| 1831515154 | Bronxcare Health System | Clinic/Center | 199 Mount Eden Pkwy, Bronx, NY 10457 | 2014-03-11 |
| 1851717219 | Bronxcare Health System | Clinic/Center | 1770 Grand Concourse, Suite 2f, Bronx, NY 10457 | 2014-03-10 |
| 1811236532 | Bronxcare Health System | Psychiatry & Neurology | 1650 Grand Concourse, Bronx, NY 10457 | 2013-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONXCARE HEALTH SYSTEM | 1276 Fulton Ave, Bronx, NY 10456-3402 |
| Street Address |
1276 FULTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672038 | John Douglas Reich | Family Medicine | 1276 Fulton Ave, 4th Floor, Bronx, NY 10456-3402 | 2006-01-06 |
| 1487265468 | Mohamed Abdullah Abofaye | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-08-12 |
| 1144842071 | Bhargava Suved Chitti | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-05-14 |
| 1578198875 | Eric Garrels | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-03-06 |
| 1801428222 | Bronxcare Health System | Clinic/Center | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2020-02-05 |
| 1649838996 | Nnachi O Mba | Nurse Practitioner | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2019-06-02 |
| 1447814629 | Elfy Payero Gonzalez | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2019-04-23 |
| 1912480500 | Shana Grover | Psychologist | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2018-09-11 |
| 1417436866 | Bushra Abdullah Dakhilallah | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2018-08-07 |
| 1851886295 | Sarah Ariana Albert | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| 1467076968 | B Well With Brooke LLC | Clinic/Center | 3750 Hudson Manor Ter Apt 1ae, Bronx, NY 10463-1167 | 2020-06-01 |
| 1366988362 | Postgraduate Center for Mental Health | Clinic/Center | 3525 Hull Ave, Bronx, NY 10467-1604 | 2017-01-13 |
| 1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1215313184 | Safe Space Therapy Services, Lcsw, Pllc | Clinic/Center | 981 Morris Park Ave, Bronx, NY 10462-3766 | 2015-08-03 |
| 1871974261 | Milestone Psychotherapy, Lcsw, PC | Clinic/Center | 2010 Williamsbridge Rd, 2nd Floor, Bronx, NY 10461-1603 | 2015-06-11 |
| 1023130580 | Our Lady of Mercy Mhc | Clinic/Center | 4401 Bx. Boulevard, Bronx, NY 10470 | 2007-04-04 |
| 1932231107 | Fordham Tremont Cmhc | Clinic/Center | 2021 Grandconcourse Ave, Bronx, NY 10469 | 2007-03-12 |
| 1710022330 | Argus Community, Inc. | Clinic/Center | 402 E 156th St, Bronx, NY 10455-1232 | 2007-02-21 |
| 1962593210 | Yeshiva University | Clinic/Center | 2527 Glebe Avenue, Bronx, NY 10461 | 2006-09-28 |
| 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.