Bronx Community Medicine, Pllc
LBN: Bronx Community Medicine, Pllc
Bronx Community Medicine, Pllc is an health care organization with primary practice located at 2676 Grand Concourse # A , Bronx NY 10458-4914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Bronx Community Medicine, Pllc can be contacted via phone (718) 708-4040, or through Olivo Mercedes, Yohanna Maria via phone (347) 204-3437.
Contact Information
Primary practice address
2676 Grand Concourse # A
Bronx NY 10458-4914
Phone: (718) 708-4040
Fax: (718) 708-6040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 266860 | New York |
Profile Details
| NPI number | 1942645247 |
|---|---|
| LBN Legal business name | Bronx Community Medicine, Pllc |
| DBA Doing business as | |
| Authorized official | Olivo Mercedes, Yohanna Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2013 |
| Last updated | Sep 29th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942645247 | NPPES |
| New Jersey | Other | 268781YH9B. | MEDICARE PTAN |
| New Jersey | Other | A100097539 | MEDICARE PTAN |
| New Jersey | MEDICAID | 0333794 | MEDICARE PTAN |
| New Jersey | MEDICAID | 003250800 | MEDICARE PTAN |
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