BRIDGE MEDICAL DISTRIBUTION NETWORK, LLC (NPI# 1184879595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184879595 |
| Entity Type | Organization |
| Organization Name | BRIDGE MEDICAL DISTRIBUTION NETWORK, LLC |
| Practice Address |
14 Wolfe Ln Purchase NY 10577-1110 |
| Practice Telephone | 8002776690 |
| Practice Fax Number | 9147612361 |
| Mailing Telephone | 8002776690 |
| Mailing Fax Number | 9147612361 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |
| Authorized Official Name | MR. MALCOLM JOEL KANTER (CEO) |
| Authorized Official Telephone | 8002776690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BRIDGE MEDICAL DISTRIBUTION NETWORK, LLC | 14 Wolfe Lane, Purchase, Ny 10577 |
| Street Address |
14 WOLFE LN |
| City | PURCHASE |
| State | NY |
| Zip Code | 10577-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
| 1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
| 1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
| 1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
| 1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
| 1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
| 1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
| 1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
| 1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
| 1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
| Find all providers in zip 10577 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177962 | Sinai Portable X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 63187 Alderton St Bsmt, Rego Park, NY 11374-3919 | 2020-06-01 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1417356858 | A 1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Classon Ave, Brooklyn, NY 11205-2636 | 2014-08-21 |
| 1740629062 | Take Control of Your Health Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1416 Ackerson Blvd, Bay Shore, NY 11706-3845 | 2013-06-19 |
| 1245571678 | Noa Diagnostics of Ny LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1186 Broadway, Hewlett, NY 11557-2322 | 2013-03-11 |
| 1699023887 | Optimum Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 317 Eastwood Rd, Woodmere, NY 11598-1635 | 2012-08-21 |
| 1215295126 | New Jersey Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 99 Jericho Tpke Ste 204, Jericho, NY 11753-1015 | 2012-04-27 |
| 1982981890 | A1 Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1160 60th St, Brooklyn, NY 11219-4924 | 2011-11-05 |
| 1760795439 | All State Diagnostics Management Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 363 Route 111 Ste Ll4a, Smithtown, NY 11787-4756 | 2010-07-22 |
| 1528390143 | Mobile Cardiovascular Systems, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 171 Scenic Dr, Mohegan Lake, NY 10547-1254 | 2010-02-07 |
| Find all providers with the same taxonomy | ||||
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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.