MONTEFIORE MEDICAL CENTER (NPI# 1639635535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639635535 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Practice Address |
1619 Boston Rd Bronx NY 10460-4945 |
| Practice Telephone | 7185892803 |
| Practice Fax Number | 7185892805 |
| Mailing Telephone | 7185892803 |
| Mailing Fax Number | 7185892805 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MICHAEL G DOWLING (VP AND CAO) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MMC at IS 98 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1811412554 | Montefiore Medical Center | Clinic/Center | 1250 Waters Pl Ste 1201, Bronx, NY 10461-2735 | 2017-08-03 |
| 1093230732 | Montefiore Medical Center | Clinic/Center | 688 White Plains Rd Ste 222, Scarsdale, NY 10583-5015 | 2017-08-03 |
| 1649628074 | Montefiore Medical Center | General Acute Care Hospital | 110 East 210th St, Bronx, Bronx, NY 10467 | 2016-05-26 |
| 1942667340 | Montefiore Medical Center | Chronic Disease Hospital | 3400 Bainbridge Mmc, Bronx, NY 10467-2404 | 2016-01-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MONTEFIORE MEDICAL CENTER | 111 East 210th Street, Bronx, New York 10467 |
| Street Address |
1619 BOSTON RD |
| City | BRONX |
| State | NY |
| Zip Code | 10460-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1164768206 | Montefiore Medical Center | Clinic/Center | 1501 Jerome Ave, Bronx, NY 10452-3309 | 2012-12-18 |
| 1518433440 | Montefiore Medical Center | Clinic/Center | 1449 Shakespeare Ave, Bronx, NY 10452-1800 | 2018-10-18 |
| 1386130250 | Montefiore Medical Center | Clinic/Center | 1180 Tinton Ave, Bronx, NY 10456-5436 | 2018-07-03 |
| 1700375870 | Jennifer Kim | Clinic/Center | 4422 3rd Ave, Bronx, NY 10457-2545 | 2018-05-04 |
| 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.