Diabetes Relief Center of Bronx Mso LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIABETES RELIEF CENTER OF BRONX MSO LLC

Practice address

2825 3Rd Ave Ste 200
Bronx, NY 10455-4066

Phone

(916) 550-1050

Fax

(916) 550-1238

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Deane' Wallace

Title

Credentialing Specialist

Phone

(916) 571-9041

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Basri MD Diabetes Relief PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bronx, NY
  • NPI 1730691171
  NPPES parent name

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1043738586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 AUBURN BLVD STE J",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414139",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 200",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES RELIEF CENTER OF BRONX MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEANE'",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-571-9041"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Di Re
• Marguerite Eugenie Diab, MD
• Aminata Diabate II, RDN
• Hadiaratou Diabate
• Juliet Diabene, PA
• Aissetou Diaby, RN
• Diagnostic & Interventional Cardiac SVCS,PC
• Diagnostic PC
• Sanata Diakite
• Constantine Diakolios, MD

• 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 5, 2017; 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.