Active NPI
Mott Haven Phcy and Surgicals
- Community/Retail Pharmacy
- Bronx, NY
National Provider Identifier
1104831700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MOTT HAVEN PHCY AND SURGICALS
- Practice address
- 400 East 141 Street
Bronx, NY 10454 - Phone
- (718) 292-9144
- NPI assigned
- Jul 30, 2006
- Last updated
- Oct 27, 2010
- 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
- Amit Patel
- Title
- Secretary
- Phone
- (718) 292-9144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
400 East 141 Street
Bronx, NY 10454
Mailing address
400 E 141St St
Bronx, NY 10454
Phone (718) 292-9144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3349811 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1104831700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 141ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10454",
"telephone_number": "718-292-9144",
"fax_number": "718-292-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST 141 STREET",
"city": "BRONX",
"state": "NY",
"postal_code": "10454",
"telephone_number": "718-292-9144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTT HAVEN PHCY AND SURGICALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "718-292-9144"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3349811",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Crystal Ashlee Mothersill
- Motion Chiropractic PC
- Motion Matrix Physical Therapy PLLC
- Mott Haven Medical of New York LLC
- Mott Haven Pharmacy Inc (motthaven pharmacy & surgical)
- Mott Haven Prescription Inc
- Mott Haven Professional Medical of New York LLC
- Mott Haven RX Inc
- Sabrina C Motta, MS, CCC-SLP
- Joe Mouawad
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.