Organization Active NPI

Personal Medical Care PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1184016354
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PERSONAL MEDICAL CARE PC
Practice address
4000 Seton Ave
Bronx, NY 10466-2333
Phone
(718) 881-8182
Fax
(718) 325-1524
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Ravindra Kashyap, MDNPI 1639128366
Title
Owner
Phone
(718) 881-8182

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4000 Seton Ave
Bronx, NY 10466-2333

Mailing address

4000 Seton Ave
Bronx, NY 10466-2333
Phone (718) 881-8182

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0892771Personal Medical Care, PC4000 Seton Ave, Bronx, NY 10466Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

4000 Seton Ave
Bronx, NY 10466
Phone (718) 324-5408

Practitioners & affiliated clinicians

Practitioners 1

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": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1184016354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SETON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662333",
            "telephone_number": "718-881-8182",
            "fax_number": "718-325-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SETON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662333",
            "telephone_number": "718-881-8182",
            "fax_number": "718-325-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "KASHYAP",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-881-8182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.