Fordham Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

190981 Issued in NY

Legal business name

FORDHAM MEDICAL PC

Practice address

2430 Davidson Ave FL 2
Bronx, NY 10468-6364

Phone

(718) 733-2100

NPI assigned

Sep 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jo-Ann Shakarjian

Title

Owner

Phone

(718) 733-2100

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECBEAA

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1083082960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 DAVIDSON AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686364",
            "telephone_number": "718-733-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 DAVIDSON AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686364",
            "telephone_number": "718-733-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAKARJIAN",
        "authorized_official_first_name": "JO-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-733-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fordham Eyes Inc
• Fordham Family Pharmacy & Surgical Inc.
• Fordham Foot Care Group, PC
• Fordham Health Corp
• Fordham Medical of New York LLC
• Fordham Optical Inc
• Fordham Optometry and Ophthalmic Dispensing PLLC (Optical World of Fordham)
• Fordham Plaza Dental Associates (Citident Dental Center)
• Fordham Plaza Pharmacy Inc (Plaza Pharmacy)
• Fordham Professional Medical Services of New York LLC

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.