Organization Active NPI

Bronx Heart Medical, P.C

  • Specialist
  • Bronx, NY
National Provider Identifier
1174554992
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRONX HEART MEDICAL, P.C
Practice address
3184 Grand Concourse
Apt #LD
Bronx, NY 10458-1007
Phone
(718) 584-0555
Fax
(718) 584-0793
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Thakor C. Rana, M.D.NPI 1609808476
Title
Ceo
Phone
(718) 584-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

3184 Grand Concourse
Apt #LD
Bronx, NY 10458-1007

Mailing address

3184 Grand Concourse
Apt #1D
Bronx, NY 10458-1007
Phone (718) 584-0555

Other identifiers 1

IdentifierTypeStateIssuer
00212579MedicaidNY

Other names 1

  • NONE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000625 NY Part B Supplier - Clinic/Group Practice 5890685093 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bronx, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3184 Grand Concourse
Apt Ld
Bronx, NY 10458
Phone (718) 584-0555

3184 Grand Concourse
Apt 1D
Bronx, NY 10458

3184 Grand Concourse
Ste 1D
Bronx, NY 10458
Phone (718) 584-0555

140 Bellamy Loop
Fl 1
Bronx, NY 10475
Phone (718) 584-0555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJJFAD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1174554992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE",
            "address_2": "APT #1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581007",
            "telephone_number": "718-584-0555",
            "fax_number": "718-584-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE",
            "address_2": "APT #LD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581007",
            "telephone_number": "718-584-0555",
            "fax_number": "718-584-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX HEART MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "THAKOR",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-584-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00212579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.