MONTEFIORE MEDICAL CENTER (NPI# 1790060606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790060606 |
| Entity Type | Organization |
| Organization Name | MONTEFIORE MEDICAL CENTER |
| Other Organization Name | MMC SOUTH BRONX AT 890 |
| Practice Address |
890 Prospect Ave Bronx NY 10459-3978 |
| Practice Telephone | 7189910605 |
| Practice Fax Number | 3474982751 |
| Mailing Telephone | 7189910605 |
| Mailing Fax Number | 3474982751 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | MICHAEL G. DOWLING (CHIEF ADMINSTRATIVE OFFICE) |
| Authorized Official Telephone | 9143774668 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MMC South Bronx at 890 | 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 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MONTEFIORE MEDICAL CENTER | 111 East 210th Street, Bronx, New York 10467 |
| Street Address |
890 PROSPECT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10459-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144268863 | Adrian J Khaw | Pediatrics | 890 Prospect Ave, Bronx, NY 10459-3978 | 2006-06-03 |
| 1467087353 | Wendy Johana Alfaro | Psychologist | 890 Prospect Ave, Bronx, NY 10459-3978 | 2020-03-11 |
| 1346723681 | Deborah Vanessa York | Nurse Practitioner | 890 Prospect Ave, Bronx, NY 10459-3978 | 2018-09-12 |
| 1730542796 | Alejandra Sacasa | Pediatrics | 890 Prospect Ave, Bronx, NY 10459-3978 | 2016-03-29 |
| 1568836203 | Lea Christy Loveland | Nutritionist | 890 Prospect Ave, Bronx, NY 10459-3978 | 2015-11-18 |
| 1639518517 | Maria Enid Chico Cardona | Pediatrics | 890 Prospect Ave, Bronx, NY 10459-3978 | 2013-06-24 |
| 1033458187 | Cristina Muniz De La Pena | Psychologist | 890 Prospect Ave, Bronx, NY 10459-3978 | 2013-02-10 |
| 1275877441 | Cora Tony Minks | Licensed Practical Nurse | 890 Prospect Ave, #71, Bronx, NY 10459-3978 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1891327813 | Montefiore Medcial Center | Clinic/Center | 3860 E Tremont Ave, Bronx, NY 10465-2422 | 2020-02-07 |
| 1639735483 | Ajs Brooklyn Medical Practice PC | Clinic/Center | 655 Morris Ave # 2, Bronx, NY 10451-4898 | 2019-05-17 |
| 1700340437 | Virginia Martinez Md PC | Clinic/Center | 1749a Grand Concourse Ofc A, Bronx, NY 10453-8202 | 2019-01-28 |
| 1811412554 | Montefiore Medical Center | Clinic/Center | 1250 Waters Pl Ste 1201, Bronx, NY 10461-2735 | 2017-08-03 |
| 1801331392 | Hector R Rodriguez Navarro Md | Clinic/Center | 1025 Grand Concourse, Bronx, NY 10452-9107 | 2016-12-20 |
| 1982060240 | Sandra Akakpo | Clinic/Center | 1987 Bathgate Ave Apt 1, Bronx, NY 10457-4406 | 2016-01-02 |
| 1477829588 | Respiro Inc. | Clinic/Center | 837 Neill Ave, Apt. 2, Bronx, NY 10462-3042 | 2012-03-23 |
| 1376810010 | Montefiore Medical Center | Clinic/Center | 730 Concourse Village West, Bronx, NY 10451 | 2011-11-23 |
| 1396050290 | D.f.s Pulle Physician PC | Clinic/Center | 2410 Barker Ave, Suite 1g, Bronx, NY 10467-7629 | 2010-08-16 |
| 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.