Active NPI
IHS of New York Inc
Doing business as Pelham Parkway Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
National Provider Identifier
1073549192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- IHS OF NEW YORK INC
- Doing business as
- Pelham Parkway Dialysis Center
- Practice address
- 1400 Pelham Pkwy S
Jacobi Medical Center BLDG 5 A1
Bronx, NY 10461-1138 - Phone
- (718) 409-1909
- Fax
- (718) 409-1823
- NPI assigned
- Jun 23, 2006
- Last updated
- Aug 26, 2015
- 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
- Kathleen McDonnell
- Title
- President
- Phone
- (561) 361-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Jacobi Medical Center BLDG 5 A1
Bronx, NY 10461-1138
Mailing address
6001 Broken Sound Pkwy
Suite 508
Boca Raton, FL 33487-2765
Phone (561) 443-0743
Other names 1
- Pelham Parkway Dialysis Center
National Provider Directory
National Provider DirectoryLocations
6001 Broken Sound Pkwy NW
Ste 508
Boca Raton, FL 33487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1073549192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 BROKEN SOUND PKWY",
"address_2": "SUITE 508",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872765",
"telephone_number": "561-443-0743",
"fax_number": "561-443-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "JACOBI MEDICAL CENTER BLDG 5 A1",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-409-1909",
"fax_number": "718-409-1823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHS OF NEW YORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "MCDONNELL",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-361-1113"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pelham Parkway Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.