866 Medical Group

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

234017 Issued in NY

Legal business name

866 MEDICAL GROUP

Practice address

866 E Tremont Ave
Bronx, NY 10460-4201

Phone

(347) 515-0123

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dante A Cubangbang, M.DNPI 1770582124

Title

President

Phone

(917) 930-9614

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dante Acebo Cubangbang, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1770582124
  Authorized official Same address or phone

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1013350933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604201",
            "telephone_number": "347-515-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "866 MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "CUBANGBANG",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-930-9614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "234017",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "217149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 75 Burnside Drug and Surgical Inc (Burnside Pharmacy LTC)
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• 786 Medical PC
• 810 Dental Association
• 866 East Tremont Pharmacy LLC
• 871 Moses LLC (Moses Medical)
• 872 Hpa Drug Corp (Boca Pharmacy)
• 872 Huntspoint Pharmacy Inc (Boca Pharmacy)
• 904 Prospect Pharmacy Inc (Boca Pharmacy)
• 923 RX Inc (Zamzam Pharmacy)

• Pain Medicine (Anesthesiology) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.