Jacalyn Bitterman, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

172562 Issued in NY

Practice address

1065 Southern Blvd
Bronx, NY 10459-2417

Phone

(718) 589-2440

NPI assigned

Aug 8, 2006

Last updated

Jun 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urban Health Plan, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1265596548
  Medicare reassignment NPD
• Urban Health Plan, Inc.

  dba Park Tree Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1386247542
  NPD
• Urban Health Plan, Inc.

  dba Plaza del Sol Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Corona, NY
  • NPI 1710125141
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1164432902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERMAN",
        "first_name": "JACALYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "172562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Chaim Bitan, MD
• Juan Paulo Verdan Bitanga, PA-C
• Clarisa M Bittar I, M S ED
• Daniela Bittar, DMD
• Henni Esther Bitter, FNP
• Courtney Bitting, MED, BCBA
• Juliana Fontenele Bizerril-Williams
• Patrycja Bizio
• BJ's Wholesale Club Inc.
• BJ's Wholesale Club Inc.

• Pediatric Adolescent Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.