BRONX VAMC (NPI# 1700284353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700284353 |
| Entity Type | Organization |
| Organization Name | BRONX VAMC |
| Other Organization Name | BRONX VA MOBILE OOS |
| Practice Address |
130 W Kingsbridge Rd Bronx NY 10468-3904 |
| Mailing Address |
Po Box 3022 Lebanon PA 17042-3022 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BRONX VA MOBILE OOS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1023057965 | Bronx Vamc | Clinic/Center | 124 New Main St, Yonkers, NY 10701-4126 | 2006-06-06 |
| 1558309047 | Bronx Vamc | Clinic/Center | 4103 Queens Blvd, Sunnyside, NY 11104-2801 | 2006-06-04 |
| 1316996630 | Bronx Vamc | General Acute Care Hospital | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-05-06 |
| 1821056995 | Bronx Vamc | Department of Veterans Affairs (VA) Pharmacy | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-05-01 |
| Street Address |
130 W KINGSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991185 | Solomon Nadler | Dentist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2005-06-02 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1578170528 | Luisa Mejia | Radiology | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-24 |
| 1881208148 | Christina Heng | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-03 |
| 1629687710 | Maria Kyritsi | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-24 |
| 1013525336 | Adam Adam | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-22 |
| 1700494267 | Vaishali Geedigunta | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-21 |
| 1134737786 | Gavro Jelic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-20 |
| 1255959664 | Mirjana Barjaktarovic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-12 |
| 1124645171 | Olivia Castro | Respiratory Therapist, Registered | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-06-25 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| 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.