Active NPI
Agape Comprehensive Medical Office PC
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1205397767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2019
- 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
- Emilio Almanzar
- Title
- Delegated Official
- Phone
- (201) 921-5063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.