St Barnabas Health System Bronx

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

ST BARNABAS HEALTH SYSTEM BRONX

Practice address

4422 3Rd Ave
Bronx, NY 10457-2545

Phone

(718) 960-9000

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By 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

Paloma Antonia Bristol

Title

Dental Resident

Phone

(301) 252-9959

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Paloma Antonia Bristol Bartley

  • General Practice Dentistry
  • Gastonia, NC
  • NPI 1194315135

  Student in an Organized Health Care Education/Training Program

  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1073191193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BARNABAS HEALTH SYSTEM BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "PALOMA",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "DENTAL RESIDENT",
        "authorized_official_telephone_number": "301-252-9959"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SS Baker Consulting Group
• SS Medical Care, PC
• SS Pharma Inc. (Rite Choice Pharmacy)
• Joseph Ssenyondwa, MD
• St Anns Medical Care PPLC
• St Barnabas Hospital
• St Barnabas Hospital
• St Barnabas Hospital-Pharmacy
• St Barnabas Well Care PC
• Jeffrey J St Denis, MSED

• Student in an Organized Health Care Education/Training Program in Bronx, NY
• Providers in Bronx, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.