Active NPI
Mansoureh Alerassool, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1164592697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216326
- Practice address
- 4487 3Rd Ave
Third Floor Medical Clinic
Bronx, NY 10457-1526 - Phone
- (718) 960-9000
- Fax
- (718) 960-3685
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216326 | NY | Primary |
Addresses
Primary practice location
4487 3Rd Ave
Third Floor Medical Clinic
Bronx, NY 10457-1526
Mailing address
4487 3Rd Ave
Third Floor Medical Clinic
Bronx, NY 10457-1526
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216326 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164592697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4487 3RD AVE",
"address_2": "THIRD FLOOR MEDICAL CLINIC",
"city": "BRONX",
"state": "NY",
"postal_code": "104571526",
"telephone_number": "718-960-9000",
"fax_number": "718-960-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4487 3RD AVE",
"address_2": "THIRD FLOOR MEDICAL CLINIC",
"city": "BRONX",
"state": "NY",
"postal_code": "104571526",
"telephone_number": "718-960-9000",
"fax_number": "718-960-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALERASSOOL",
"first_name": "MANSOUREH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "216326",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.