Clason Point Medical PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

263664 Issued in NY

Legal business name

CLASON POINT MEDICAL PC

Practice address

805B Soundview Ave
Bronx, NY 10473-3900

Phone

(646) 884-4964

Fax

(347) 338-2792

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Angel A Diaz, M.D.NPI 1871751172

Title

Owner

Phone

(646) 884-4964

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 1

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

• Angel Alberto Diaz, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1871751172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1174940605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805B SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733900",
            "telephone_number": "646-884-4964",
            "fax_number": "347-338-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805B SOUNDVIEW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733900",
            "telephone_number": "646-884-4964",
            "fax_number": "347-338-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASON POINT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-884-4964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "263664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03439452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy-Ann Kamika Clarke
• Tenesha Clarke
• Tiah Clarke, LMHC
• Vanessa Athena Clarke, LMSW
• Kaleena Danetta Clarkson, RDN
• Angela Yvette Clasp
• Classic Home Care Inc
• Classic Home Care, Inc.
• Celeste Classon
• Larissa Stephanie Claude-Adewunmi, PA-C

• Legal Medicine in Bronx, NY
• Providers in Bronx, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.