BASRI MD DIABETES RELIEF PC (NPI# 1730691171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730691171 |
| Entity Type | Organization |
| Organization Name | BASRI MD DIABETES RELIEF PC |
| Practice Address |
2825 3rd Ave Ste 200 Bronx NY 10455-4066 |
| Mailing Address |
4441 Auburn Blvd Ste J Sacramento CA 95841-4139 |
| Practice Telephone | 9165501050 |
| Practice Fax Number | 9165501238 |
| Mailing Telephone | 9165501050 |
| Mailing Fax Number | 9165501238 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | DEANE WALLACE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9165719041 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIABETES RELIEF CENTER OF BRONX MSO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
2825 3RD AVE STE 200 |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043738586 | Diabetes Relief Center of Bronx Mso LLC | Internal Medicine | 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1114269438 | Nisha Suda | Internal Medicine | 1800 Morris Park Ave (2nd Floor), Bronx, NY 10461 | 2013-03-25 |
| 1669762704 | Shira Saul | Internal Medicine | 130 W Kingsbridge Rd Ste I, Bronx, NY 10468-3904 | 2011-04-11 |
| 1558401430 | Ellie E Schoenbaum | Internal Medicine | Mmc - Epidemiology & Popula., 1300 Morris Park Avenue, Bronx, NY 10461 | 2007-02-08 |
| 1902902414 | Monica Ann Scantlebury | Internal Medicine | 2401 White Plains Rd, Bronx, NY 10467-8108 | 2006-09-15 |
| 1003929043 | Charmian Darryl Cohen | Internal Medicine | 1200 Waters Pl Ste M105, Bronx, NY 10461-0367 | 2006-08-16 |
| 1851379911 | Carlos Felix Driggs | Internal Medicine | 1957 Williamsbridge Rd, Bronx, NY 10461-1604 | 2006-01-08 |
| 1700887072 | Hortencia Cecilia Garcia | Internal Medicine | 1865 Hone Ave, Bronx, NY 10461-1406 | 2005-08-09 |
| 1316333628 | David Jeffrey Carruthers | Internal Medicine | 1180 Morris Park Ave, Bronx, NY 10461-1925 | 2015-04-13 |
| 1538569355 | Neha Verma | Internal Medicine | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2014-08-28 |
| 1821406810 | Shreya Subramaniam | Internal Medicine | 234 E 149th St, Bronx, NY 10451-5504 | 2014-07-23 |
| 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.