NPIMap

Organization Active NPI

Medalliance Medical Health Services

  • Multi-Specialty Clinic/Center
  • Bronx, NY
National Provider Identifier
1114232311
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7000267R Issued in NY
Legal business name
MEDALLIANCE MEDICAL HEALTH SERVICES
Practice address
625 E Fordham Rd
Bronx, NY 10458-5049
Phone
(718) 933-1900
Fax
(718) 563-4039
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDALLIANCE MEDICAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Miss Geraldine Ann Maraj, MBA
Title
Administrator
Phone
(718) 933-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7000267R NY Primary

Addresses

Primary practice location

625 E Fordham Rd
Bronx, NY 10458-5049

Mailing address

518 E 149TH St
Bronx, NY 10455-2812
Phone (718) 292-6110

National Provider Directory

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

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1114232311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552812",
            "telephone_number": "718-292-6110",
            "fax_number": "718-292-6111"
        },
        {
            "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": "104585049",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MARAJ",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-933-1900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "7000267R",
            "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 Aug 11, 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.

Verify at the official NPI Registry.