Active NPI
Balm of Gilead Certified Agency
- Home Health Agency
- Bronx, NY
National Provider Identifier
1053548735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BALM OF GILEAD CERTIFIED AGENCY
- Practice address
- 3515 Eastchester Rd
Bronx, NY 10469-1670 - Phone
- (718) 547-4077
- Fax
- (718) 547-4099
- NPI assigned
- Jun 19, 2009
- 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. Gregory Emili, MD
- Title
- Owner
- Phone
- (718) 547-4077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3515 Eastchester Rd
Bronx, NY 10469-1670
Mailing address
3515 Eastchester Rd
Bronx, NY 10469-1670
Phone (718) 547-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999999999 | Other | NY | PENDING AT THIS TIME |
National Provider Directory
National Provider Directory- Tax ID family
- Balm of Gilead Certified Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Bronx, NY
- NPI 1104117373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1053548735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104691670",
"telephone_number": "718-547-4077",
"fax_number": "718-547-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104691670",
"telephone_number": "718-547-4077",
"fax_number": "718-547-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALM OF GILEAD CERTIFIED AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-19",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "EMILI",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-547-4077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENDING AT THIS TIME",
"identifier": "999999999",
"state": "NY"
}
],
"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 Jun 19, 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.