Organization Active NPI

Agape Comprehensive Medical Office PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1205397767
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AGAPE COMPREHENSIVE MEDICAL OFFICE PC
Practice address
518 E 149TH St
Bronx, NY 10455-2812
Phone
(917) 444-1676
Fax
(718) 993-9319
NPI assigned
Mar 27, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Emilio Almanzar
Title
Delegated Official
Phone
(201) 921-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

518 E 149TH St
Bronx, NY 10455-2812

Mailing address

560 Hudson St Ste 301
Hackensack, NJ 07601-6655
Phone (917) 444-1676

Other practice location 1

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 547-4077

Other practice location 2

2825 3rd Ave
Bronx, NY 10455-4066
Phone (845) 596-0466

Other practice location 3

518 E 149th St
Bronx, NY 10455-2812
Phone (845) 596-0466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1205397767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HUDSON ST STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016655",
            "telephone_number": "917-444-1676",
            "fax_number": "718-993-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552812",
            "telephone_number": "917-444-1676",
            "fax_number": "718-993-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4626 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104701610",
            "country_code": "US",
            "telephone_number": "718-547-4077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554066",
            "country_code": "US",
            "telephone_number": "845-596-0466",
            "fax_number": "845-638-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104552812",
            "country_code": "US",
            "telephone_number": "845-596-0466",
            "fax_number": "845-638-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE COMPREHENSIVE MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "ALMANZAR",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-921-5063"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Nov 5, 2019; 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.