Doctors Medical Group of Ny PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTORS MEDICAL GROUP OF NY PC

Doing business as

Doctors Medical Group

Practice address

392 Bedford Park Blvd
Bronx, NY 10458-2415

Phone

(718) 364-3200

Fax

(718) 364-3800

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Cluny Lefevre, D.O

Title

Medical Director

Phone

(718) 364-3200

Specialties & licenses 1

Addresses

Other names 1

• Doctors Medical Group Doing business as

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1023184512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15144 82ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141777",
            "telephone_number": "718-364-3200",
            "fax_number": "718-364-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 BEDFORD PARK BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582415",
            "telephone_number": "718-364-3200",
            "fax_number": "718-364-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL GROUP OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "CLUNY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-364-3200",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doctor Medical of Ny PC (Doctors Medical Group)
• Doctor Urgent Medical Care, PLLC
• Delesha S Doctor, LPN
• Talier Doctor
• Doctor's Private Office
• Doctors Medical Group, P.C.
• Manjola Doda, MD
• Brenda Dodd-Green
• Indukala Doddamane, MBBS
• Swetha Doddi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.