MONTEFIORE MEDICAL PARK (NPI# 1306990478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306990478 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL PARK |
| Practice Address |
1625 Poplar St Radiology Suite#100 Bronx NY 10461-2653 |
| Mailing Address |
2266 Gleason Ave Apt 6a Bronx NY 10462-5113 |
| Practice Telephone | 7184058440 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AFSANA SHARMIN (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 6462384864 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
011243-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
1625 POPLAR ST RADIOLOGY SUITE#100 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588714752 | William Raymond Bodner IIi | Radiology | 1625 Poplar St, Bronx, NY 10461-2653 | 2007-01-11 |
| 1366882144 | Sandra Pinzon | Social Worker | 1625 Poplar St, Suite 101, Bronx, NY 10461-2648 | 2013-06-26 |
| 1255680195 | Amanda Bontempo | Dietitian, Registered | 1625 Poplar St, Suite 101, Bronx, NY 10461-2648 | 2012-09-06 |
| 1881998003 | Montefiore Medical Center | General Acute Care Hospital | 1625 Poplar St, Bronx, NY 10461-2648 | 2011-01-03 |
| 1871751479 | Aravind Pothula | Plastic Surgery | 1625 Poplar St, Bronx, NY 10461-2648 | 2008-05-30 |
| 1790943546 | Evan Stuart Garfein | Specialist | 1625 Poplar St, Ste 200, Bronx, NY 10461-2653 | 2008-05-29 |
| 1235339326 | Keyur Mehta | Radiology | 1625 Poplar St, Suite 101, Bronx, NY 10461-2648 | 2007-07-18 |
| 1801092341 | Montefiore Dental Department | Dentist | 1625 Poplar St, Bronx, NY 10461-2653 | 2007-06-22 |
| 1053433904 | Afsana Sharmin | Clinic/Center | 1625 Poplar St, Radiology, Suite #100, Bronx, NY 10461-2653 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376920496 | Mc Imaging Inc | Clinic/Center | 216 Foster Pl Ste 2, Bronx, NY 10471-1805 | 2015-04-27 |
| 1669712741 | Quality Diagnostic, Inc | Clinic/Center | 2167 Cruger Ave Apt 6c, Bronx, NY 10462-1519 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852338 | Lifeline Imaging LLC | Clinic/Center | 38 Opal Ln, Staten Island, NY 10309-2827 | 2019-10-08 |
| 1548817307 | Sandy Dimanche | Clinic/Center | 11326 202nd St, Saint Albans, NY 11412-2531 | 2019-08-26 |
| 1336644384 | Northeast Services 5 Inc | Clinic/Center | 13844c Queens Blvd Ste 213, Briarwood, NY 11435-2642 | 2018-03-29 |
| 1386174779 | Pamir Mobile Diagnostic Services Inc. | Clinic/Center | 14715 35th Ave Apt 2c, Flushing, NY 11354-3704 | 2017-06-18 |
| 1407383888 | Icare Ultrasound Imaging, LLC | Clinic/Center | 7 Chamber Valley Ests, Spencerport, NY 14559-9301 | 2017-05-17 |
| 1851830269 | Direct Cardiovascular Imaging Inc | Clinic/Center | 527 Bedford Ave, Staten Island, NY 10306-5429 | 2017-02-17 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1851796585 | National Diagnostic Solutions LLC | Clinic/Center | 505 W 37th Street, Ste 404, New York, NY 19102-9998 | 2014-10-23 |
| 1720402068 | Sonic Technical Services Inc | Clinic/Center | 640 Belle Terre Rd Bldg F, Port Jefferson, NY 11777-1936 | 2014-02-06 |
| 1821411489 | Mas Imaging | Clinic/Center | 11 Bayard St, Lake Grove, NY 11755-3147 | 2014-01-31 |
| 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.