Active NPI
Community Medical Care of N.Y., P.C.
- Health Service Clinic/Center
- Bronx, NY
National Provider Identifier
1164757704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 196049
- Legal business name
- COMMUNITY MEDICAL CARE OF N.Y., P.C.
- Practice address
- 1963 Grand Concourse
2ND Floor
Bronx, NY 10453-4994 - Phone
- (718) 294-5000
- Fax
- (718) 294-6060
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- 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
- Dr. Ahmad Riaz, MD
- Title
- President/Owner
- Phone
- (718) 294-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 196049 | NY | Primary |
Addresses
Primary practice location
1963 Grand Concourse
2ND Floor
Bronx, NY 10453-4994
Mailing address
1963 Grand Concourse
2ND Floor
Bronx, NY 10453-4994
Phone (718) 294-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01548287 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1164757704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 GRAND CONCOURSE",
"address_2": "2ND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104534994",
"telephone_number": "718-294-5000",
"fax_number": "718-294-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 GRAND CONCOURSE",
"address_2": "2ND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104534994",
"telephone_number": "718-294-5000",
"fax_number": "718-294-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL CARE OF N.Y., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "RIAZ",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "718-294-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "196049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01548287",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Community Health Project Inc
- Community Health Project Inc. (Callen-Lorde Bronx)
- Community Health Project, Inc. (Callen-Lorde Cohen Behavioral Health Center)
- Community Healthcare Network Inc (Bronx Health Center)
- Community Healthcare Network, Inc.
- Community Medical Care of Ny, P.C.
- Community Pediatrics,PC
- Community Pharmacy Ny Inc
- Community Prescriptions Inc.
- Community Primary Care Medical Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.