Dyckman Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

207304 Issued in NY

Legal business name

DYCKMAN MEDICAL PC

Practice address

271 E 198TH St
Ground Floor
Bronx, NY 10458-3170

Phone

(347) 963-4835

Fax

(718) 220-4739

NPI assigned

Feb 3, 2016

Last updated

Feb 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nelton Reyes, MD

Title

Owner

Phone

(347) 963-4835

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1225496482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E 198TH ST",
            "address_2": "GROUND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583170",
            "telephone_number": "347-963-4835",
            "fax_number": "718-220-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E 198TH ST",
            "address_2": "GROUND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583170",
            "telephone_number": "347-963-4835",
            "fax_number": "718-220-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCKMAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "NELTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-963-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "207304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dy Associates Inc.
• Alexander Dy, PHARMD
• Sheila Caramillo Dy, PT
• Nariman Dyab
• Rachel Clay Dyball, PA-C
• Daniel Dyer Jr., PHARMD
• John Dennis Dyer, DDS
• Myrtlelyn Cynthia Dyer, LPN
• Robert Joshua Dym, MD
• Dynamic DME Inc

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.