Nyc Medical and Wellness Center Management

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NYC MEDICAL AND WELLNESS CENTER MANAGEMENT

Practice address

871 E Tremont Ave
Bronx, NY 10460-4207

Phone

(347) 794-0531

Fax

(212) 888-6024

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Fernando J Delacruz, MD

Title

Managing Owner

Phone

(347) 794-0531

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1225615982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "347-794-0531",
            "fax_number": "212-888-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "347-794-0531",
            "fax_number": "212-888-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC MEDICAL AND WELLNESS CENTER MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "347-794-0531",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.