Organization Active NPI

Montefiore Medical Center

  • Student Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1164768206
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTEFIORE MEDICAL CENTER
Practice address
1501 Jerome Ave
Bronx, NY 10452-3309
Phone
(718) 294-8160
Fax
(718) 294-8161
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Michael G Dowling
Title
Chief Admin Officer
Phone
(914) 377-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1501 Jerome Ave
Bronx, NY 10452-3309

Mailing address

1501 Jerome Ave
Bronx, NY 10452-3309
Phone (718) 294-8160

Other names 1

  • Montefiore at New Settlement Other name

National Provider Directory

National Provider Directory
Tax ID family
MMC Rehab Medicine520 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1164768206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523309",
            "telephone_number": "718-294-8160",
            "fax_number": "718-294-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523309",
            "telephone_number": "718-294-8160",
            "fax_number": "718-294-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER",
        "authorized_official_telephone_number": "914-377-4668"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montefiore at New Settlement",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 18, 2012; 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.