Organization Active NPI

Community Medical Care of N.Y., P.C.

  • Health Service Clinic/Center
  • Bronx, NY
National Provider Identifier
1164757704
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
196049 Issued in NY
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01548287MedicaidNY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.