Bronx Park Rehabilitation & Sports Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

205629 Issued in NY

Legal business name

BRONX PARK REHABILITATION & SPORTS MEDICINE PC

Practice address

2016 Bronxdale Ave
Suite 101
Bronx, NY 10462-3388

Phone

(718) 918-9702

Fax

(845) 942-8623

NPI assigned

May 10, 2007

Last updated

Mar 24, 2015By 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. Sudha Akkapeddi, M.D.NPI 1043375314

Title

Supervisor

Phone

(718) 430-7605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Sudha Lakshmi Akkapeddi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bronx, NY
  • NPI 1043375314
  Medicare reassignment Authorized official
• Vijay Gopal Akkapeddi, M.D.

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1982657706
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1053526509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623388",
            "telephone_number": "718-918-9702",
            "fax_number": "845-942-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623388",
            "telephone_number": "718-918-9702",
            "fax_number": "845-942-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX PARK REHABILITATION & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "AKKAPEDDI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "718-430-7605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "205629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Parents Housing Network, Inc.
• Bronx Park Dental PC
• Bronx Park Medical Surgical Associates PC
• Bronx Park Pulmonary Medicine,PC
• Bronx Park Radiology Asst PC
• Bronx Park Urgent Medical Care PC
• Bronx PC
• Bronx Pediatrics, PC
• Bronx Penn Pharmacy Corp (Penn Pharmacy)
• Bronx Physical Therapy and Rehabilitation

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.