IHS of New York Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

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

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Pelham Parkway Dialysis Center Doing business as

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03009161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Parkway Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Okechukwu Ihemaguba, M.D
• Adanna Nancy Ihenacho
• Ogechukwu Glory Ihezie, RN
• Ariyo Ayomide Ihimoyan, MD
• Oluchi Chidimma Ihionu
• Una Ijeoma-Nchinda, MD
• Udo O Ijomah
• Faith Andrea Lero Ikalina, MD
• Stephie Ikama, PHARMD
• Emmanuel Ikealugo-Dennis, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• 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.

Verify at the official NPI Registry.