JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX (NPI# 1306911722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306911722 |
| Entity Type | Organization |
| Organization Name | JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX |
| Other Organization Name | JEWISH HOME LIFECARE-BRONX MEDICAL DEPARTMENT |
| Practice Address |
100 W Kingsbridge Rd Attn Medical Dept Bronx NY 10468-3903 |
| Practice Telephone | 7184101500 |
| Mailing Telephone | 7184101500 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-04-16 |
| Authorized Official Name | AUDREY WEINER (CEO) |
| Authorized Official Telephone | 2128704600 |
| Authorized Official Credential | DSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 7000317N | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7000317N | NY | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 7000317N | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
7000317N | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jewish Home Lifecare-Bronx Medical Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063586766 | Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx | Home Health | 2545 University Ave, Attn Bronx Lthhcp, Bronx, NY 10468-4066 | 2006-11-17 |
| 1912072208 | Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx | Skilled Nursing Facility | 100 W Kingsbridge Rd, Bronx, NY 10468-3903 | 2006-11-21 |
| Street Address |
100 W KINGSBRIDGE RD ATTN MEDICAL DEPT |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450924 | Renee M Hofman | Pharmacist | 100 W Kingsbridge Rd, Bronx, NY 10468-3903 | 2005-07-08 |
| 1144866252 | Citadel Renal Center LLC | Clinic/Center | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2019-11-24 |
| 1144864554 | Post Acute Care Leaders-new York LLC | Nurse Practitioner | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2019-10-30 |
| 1114493699 | Kristin Cherian | Speech-Language Pathologist | 100 W Kingsbridge Rd, Bronx, NY 10468 | 2018-10-22 |
| 1699225169 | Tcprnc, LLC | Skilled Nursing Facility | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2016-10-09 |
| 1528446515 | Tiffany Chang | Speech-Language Pathologist | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2015-05-11 |
| 1821408634 | Amit Khaneja Neurology Practice Pllc | Psychiatry & Neurology | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2014-05-01 |
| 1831460641 | Joohyun Kim | Registered Nurse | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2012-01-25 |
| 1801107818 | Kaitlyn Lin Wong | Internal Medicine | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-06-24 |
| 1780907253 | Sasha Elizabeth Rosado | Pharmacist | 100 W Kingsbridge Rd, Bronx, NY 10468-3961 | 2010-03-11 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245462621 | Sharad Kothari | Internal Medicine | 3979 Laconia Ave, Bronx, NY 10466-4916 | 2009-08-18 |
| 1124288170 | Alina Gory | Internal Medicine | 664 Thwaites Pl Apt 2a, Bronx, NY 10467-7925 | 2008-06-12 |
| 1962684373 | Alejandra Villalobos | Internal Medicine | 1 Fordham Plz Ste 1000, Bronx, NY 10458-5871 | 2007-11-28 |
| 1497955041 | Bernard Stern | Internal Medicine | 3128 Palisade Ave, Bronx, NY 10463-1014 | 2007-07-23 |
| 1518019124 | Carole Michelsen | Internal Medicine | 66 Van Cortlandt Park South, St. Patricks Home, Bronx, NY 10463 | 2007-01-17 |
| 1356429740 | Riverdale Internal Medicine & Geriatric Services, PC | Internal Medicine | 5601 Riverdale Ave, Suite 1d, Bronx, NY 10471-2119 | 2006-11-01 |
| 1598851628 | Anna Skokowska-lebelt | Internal Medicine | 4141 Carpenter Ave, Renal Unit, Bronx, NY 10466-2600 | 2006-10-05 |
| 1932206752 | Hannah I Lipman | Internal Medicine | Mmc - Dept of Internal Med, 111 East 210th Street, Bronx, NY 10467 | 2006-09-20 |
| 1306888086 | Jomarie Zeleznik | Internal Medicine | 3224 Grand Concourse, #ba, Bronx, NY 10458-1008 | 2006-06-10 |
| 1083667935 | Srinivasa Reddy Adapa | Internal Medicine | 3950 White Plains Rd, Bronx, NY 10466-3026 | 2006-05-19 |
| 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.