Active NPI
Palliative Care Consulting Services LLC
- Primary Care Clinic/Center
- Bronx, NY
National Provider Identifier
1033718085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PALLIATIVE CARE CONSULTING SERVICES LLC
- Practice address
- 1188 Fox St
Bronx, NY 10459-1810 - Phone
- (203) 219-7896
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gannel Jean-Pierre, NP
- Title
- Consultant
- Phone
- (203) 219-7896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1188 Fox St
Bronx, NY 10459-1810
Mailing address
382 High Ridge Rd
Stamford, CT 06905-3019
Phone (203) 219-7896
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608076800000",
"number": "1033718085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053019",
"telephone_number": "203-219-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 FOX ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104591810",
"telephone_number": "203-219-7896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALLIATIVE CARE CONSULTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "JEAN-PIERRE",
"authorized_official_first_name": "GANNEL",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "203-219-7896",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.