Manhattan Avenue Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

130554 Issued in NY

Legal business name

MANHATTAN AVENUE MEDICAL PC

Practice address

552 East 180TH Street
Bronx, NY 10457-3304

Phone

(718) 933-4445

Fax

(718) 933-4444

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Azu A Ajudua

Title

Owner

Phone

(718) 933-4445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1013217629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 EAST 180TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104573304",
            "telephone_number": "718-933-4445",
            "fax_number": "718-933-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 EAST 180TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104573304",
            "telephone_number": "718-933-4445",
            "fax_number": "718-933-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN AVENUE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "AJUDUA",
        "authorized_official_first_name": "AZU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-933-4445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "130554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Irene Mangual, LMSW
• Sonia Mangual
• Michael Kristian Mangubat, PT
• Nicole Mangulabnan, RN
• Manhattan Anesthesia Services PC
• Manhattan Oral Facial Surgery LLC
• Manhattan Psychological PLLC
• Manhattan RX LLC
• Manhattan RX LLC
• Manhattanville SBV LLC

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.