Bronx Medical Health Provider PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRONX MEDICAL HEALTH PROVIDER PC

Practice address

8027 135TH St
Jamaica, NY 11435-1029

Phone

(718) 544-1200

NPI assigned

Nov 29, 2019

Last updated

Nov 29, 2019By 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

Opeoluwa Eleyinafe

Title

President

Phone

(347) 634-2447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1093352874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 190TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 135TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351029",
            "telephone_number": "718-544-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MEDICAL HEALTH PROVIDER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "ELEYINAFE",
        "authorized_official_first_name": "OPEOLUWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-634-2447"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Jamaica, NY
• Providers in Jamaica, 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 Nov 29, 2019; 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.