MMC CO OP CITY AT DREISER (NPI# 1295920486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295920486 |
| Entity Type | Organization |
| Organization Name | MMC CO OP CITY AT DREISER |
| Practice Address |
Mmc Co Op City At Dreiser 115 Dreiser Loop Bronx NY 10475-2701 |
| Mailing Address |
Cmo 100 Corporate Drive Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTEFIORE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194919852 | Mmc Co Op City At Dreiser | Clinic/Center | 115 Dreiser Loop, Mmc Co Op City At Dreiser, Bronx, NY 10475-2701 | 2007-09-05 |
| Street Address |
MMC CO OP CITY AT DREISER 115 DREISER LOOP |
| City | BRONX |
| State | NY |
| Zip Code | 10475-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093367 | Alegria Operating LLC | Clinic/Center | 3475 Third Ave, Bronx, NY 10456-4811 | 2016-06-09 |
| 1093142861 | Dedicated Acquisition Strategies Inc | Clinic/Center | 682-684 E 233rd Street, Bronx, NY 10466 | 2013-10-10 |
| 1326337890 | Valley Medical Services, P.C. | Clinic/Center | 3000 Eastchester Rd, Bronx, NY 10469-3202 | 2011-04-05 |
| 1548490766 | Montefiore Medical Center | Clinic/Center | 1521 Jarrett Pl, Bronx, NY 10461-2606 | 2009-07-22 |
| 1639309982 | Montefiore Medical Center | Clinic/Center | 1754 Randall Avenue, Mmc Aecom Substance Abuse, Bronx, NY 10473 | 2009-07-21 |
| 1780819540 | Bronx Pulmonary Center LLC | Clinic/Center | 441 E Tremont Ave, Bronx, NY 10457-4301 | 2009-05-22 |
| 1851580872 | Mmc At 3514 Wayne Avenue | Clinic/Center | Mmc At 3514 Wayne Avenue, 3514 Wayne Avenue, Bronx, NY 10467-1564 | 2007-10-16 |
| 1083809263 | Mmc Jarret Place Practice | Clinic/Center | 1516 Jarret Place, Mmc Jarret Place Practice, Bronx, NY 10461-2607 | 2007-09-11 |
| 1437344611 | Mmc Jamaica Assessment Center | Clinic/Center | 175-10 88th Avenue, Mmc Jamaica Assessment Center, Bronx, NY 11432-5720 | 2007-09-11 |
| 1629263801 | Mmc Johnson Avenue Practice | Clinic/Center | 3510 Johnson Avenue, Mmc Johnson Avenue Practice, Bronx, NY 10463-1603 | 2007-09-11 |
| 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.