Prospect Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

223084 Issued in NY

Legal business name

PROSPECT MEDICAL CARE PC

Practice address

560 Prospect Ave
Bronx, NY 10455-4403

Phone

(718) 402-0700

Fax

(718) 292-4800

NPI assigned

Sep 23, 2010

Last updated

Jan 5, 2012By 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

Larisa V Mashensky, MD

Title

President

Phone

(718) 998-3020

Specialties & licenses 3

Addresses

Practitioners 3

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.

• Bernadette T Guilas Torres, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1972882215
  NPD (past)
• John Palemire, DC

  • Chiropractor
  • Bronx, NY
  • NPI 1871898007
  NPD (past)
• April Silvestre

  • Physical Therapist
  • Bronx, NY
  • NPI 1225333453
  NPD (past)

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1033427000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291012",
            "telephone_number": "718-998-3020",
            "fax_number": "718-998-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554403",
            "telephone_number": "718-402-0700",
            "fax_number": "718-292-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MASHENSKY",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-3020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X00408362",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223084",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prompt Home Care LLC
• Douglas Charles Proops, MD
• Caitlin Proper, MD
• Jephete Moise Prophete, PHARMD
• Prospect Ave. Pharmacy Inc. (Longwood Pharmacy)
• Deshanna Prosper, LCSW
• Gerard Guy Prosper, MD
• Protherapy Rehabilitation OT, PT, SLP, PLLC
• Prothotics Technology Inc (Prothotics Health)
• Maria Provenznao, LCSW

• 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 Jan 5, 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.