Organization Active NPI

Natalya Rodionova Medical Care PC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1154592160
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218804-1 Issued in NY
Legal business name
NATALYA RODIONOVA MEDICAL CARE PC
Practice address
2109 Matthews Ave
Bronx, NY 10462-2600
Phone
(718) 794-1000
Fax
(718) 794-5264
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Natalya Valeryevna Rodionova, M.D., D.O
Title
President
Phone
(718) 794-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 218804-1 NY Primary

Addresses

Primary practice location

2109 Matthews Ave
Bronx, NY 10462-2600

Mailing address

2109 Matthews Ave
Bronx, NY 10462-2600
Phone (718) 794-1000

National Provider Directory

National Provider Directory

Locations

2500 Boston Rd
Bronx, NY 10467
Phone (718) 882-8300

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1154592160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622600",
            "telephone_number": "718-794-1000",
            "fax_number": "718-794-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 MATTHEWS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622600",
            "telephone_number": "718-794-1000",
            "fax_number": "718-794-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA RODIONOVA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "RODIONOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_middle_name": "VALERYEVNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-794-1000",
        "authorized_official_credential": "M.D., D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218804-1",
            "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 2, 2009; 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.