NPIMap

Organization Active NPI

Medalliance Medical Health Services

  • Customized Equipment (DME)
  • Bronx, NY
National Provider Identifier
1083892970
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MEDALLIANCE MEDICAL HEALTH SERVICES
Practice address
625 E Fordham Rd
Bronx, NY 10458
Phone
(718) 933-1900
Fax
(718) 563-4039
NPI assigned
Feb 4, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Shahriar Daneshvar
Title
Ceo
Phone
(718) 933-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NY Primary

Addresses

Primary practice location

625 E Fordham Rd
Bronx, NY 10458

Mailing address

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 933-1900

National Provider Directory

National Provider Directory
Tax ID family
Medalliance Med Health Serv4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1083892970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-933-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 14, 2008; 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.