Active NPI
Bronx Medical Services PLLC
- Clinic/Center
- Bronx, NY
National Provider Identifier
1174715395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 153743
- Legal business name
- BRONX MEDICAL SERVICES PLLC
- Practice address
- 930 Grand Concourse
Bronx, NY 10451-2705 - Phone
- (718) 537-3392
- NPI assigned
- Aug 11, 2007
- 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. Okon E Umana, MD
- Title
- Medical Director
- Phone
- (718) 537-3392
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 153743 | NY | Primary |
| Community Health Clinic/Center | 261QC1500X | 153743 | NY | |
| Health Service Clinic/Center | 261QH0100X | 153743 | NY | |
| Multi-Specialty Clinic/Center | 261QM1300X | 153743 | NY | |
| Physical Therapy Clinic/Center | 261QP2000X | 153743 | NY | |
| Primary Care Clinic/Center | 261QP2300X | 153743 | NY |
Addresses
Primary practice location
930 Grand Concourse
Bronx, NY 10451-2705
Mailing address
100 Linn Ave
Yonkers, NY 10705-2503
Phone (914) 751-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00758190 | Medicaid | NY | |
| 90D672 | Other | NY | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Bronx, NY
- NPI 1972670693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1174715395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LINN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052503",
"telephone_number": "914-751-5900",
"fax_number": "914-965-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104512705",
"telephone_number": "718-537-3392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRONX MEDICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-11",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "UMANA",
"authorized_official_first_name": "OKON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-537-3392",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "153743",
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NY",
"license": "153743",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "153743",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "153743",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "153743",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "153743",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00758190",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "90D672",
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.