MMC AT WALTON HIGH SCHOOL (NPI# 1760677041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760677041 |
| Entity Type | Organization |
| Organization Name | MMC AT WALTON HIGH SCHOOL |
| Practice Address |
Mmc At Walton High School 2780 Reservoir Avenue Bronx NY 10468-2702 |
| Mailing Address |
Cmo 100 Corporate Drive Yonkers NY 10701 |
| Practice Telephone | 9143774722 |
| Mailing Telephone | 9143774722 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MICHAEL G DOWLING (DIRECTOR) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTEFIORE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235323916 | Mmc At Walton High School | Clinic/Center | Mmc At Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468-2702 | 2007-09-05 |
| Street Address |
MMC AT WALTON HIGH SCHOOL 2780 RESERVOIR AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10468-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235323916 | Mmc At Walton High School | Clinic/Center | Mmc At Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468-2702 | 2007-09-05 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093367 | Alegria Operating LLC | Clinic/Center | 3475 Third Ave, Bronx, NY 10456-4811 | 2016-06-09 |
| 1093142861 | Dedicated Acquisition Strategies Inc | Clinic/Center | 682-684 E 233rd Street, Bronx, NY 10466 | 2013-10-10 |
| 1326337890 | Valley Medical Services, P.C. | Clinic/Center | 3000 Eastchester Rd, Bronx, NY 10469-3202 | 2011-04-05 |
| 1548490766 | Montefiore Medical Center | Clinic/Center | 1521 Jarrett Pl, Bronx, NY 10461-2606 | 2009-07-22 |
| 1639309982 | Montefiore Medical Center | Clinic/Center | 1754 Randall Avenue, Mmc Aecom Substance Abuse, Bronx, NY 10473 | 2009-07-21 |
| 1780819540 | Bronx Pulmonary Center LLC | Clinic/Center | 441 E Tremont Ave, Bronx, NY 10457-4301 | 2009-05-22 |
| 1851580872 | Mmc At 3514 Wayne Avenue | Clinic/Center | Mmc At 3514 Wayne Avenue, 3514 Wayne Avenue, Bronx, NY 10467-1564 | 2007-10-16 |
| 1083809263 | Mmc Jarret Place Practice | Clinic/Center | 1516 Jarret Place, Mmc Jarret Place Practice, Bronx, NY 10461-2607 | 2007-09-11 |
| 1437344611 | Mmc Jamaica Assessment Center | Clinic/Center | 175-10 88th Avenue, Mmc Jamaica Assessment Center, Bronx, NY 11432-5720 | 2007-09-11 |
| 1629263801 | Mmc Johnson Avenue Practice | Clinic/Center | 3510 Johnson Avenue, Mmc Johnson Avenue Practice, Bronx, NY 10463-1603 | 2007-09-11 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MMC AT WALTON HIGH SCHOOL.
| 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.