Organization Active NPI

Wildlife Conservation Society

  • Health Service Clinic/Center
  • Bronx, NY
National Provider Identifier
1003453010
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WILDLIFE CONSERVATION SOCIETY
Practice address
2300 Southern Blvd
Human Health Services
Bronx, NY 10460
Phone
(718) 220-7109
Fax
(718) 329-5536
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kaitlin Duignan, FNP
Title
Manager of Human Health Services
Phone
(718) 220-7109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2300 Southern Blvd
Human Health Services
Bronx, NY 10460

Mailing address

2300 Southern Blvd
Human Health Services
Bronx, NY 10460
Phone (718) 220-7109

Other names 1

  • Wildlife Conservation Society Doing business as

National Provider Directory

National Provider Directory

Locations

2300 Southern Blvd
Bronx, NY 10460
Phone (718) 220-7109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1003453010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTHERN BLVD",
            "address_2": "HUMAN HEALTH SERVICES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-220-7109",
            "fax_number": "718-329-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTHERN BLVD",
            "address_2": "HUMAN HEALTH SERVICES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-220-7109",
            "fax_number": "718-329-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDLIFE CONSERVATION SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "DUIGNAN",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "MANAGER OF HUMAN HEALTH SERVICES",
        "authorized_official_telephone_number": "718-220-7109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildlife Conservation Society",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.