A.W Medical Office, P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204704 Issued in NY

Legal business name

A.W MEDICAL OFFICE, P.C

Practice address

1624 University Ave.
Bronx, NY 10453-6948

Phone

(718) 294-4008

Fax

(718) 294-9466

NPI assigned

Jan 29, 2008

Last updated

May 15, 2012By 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

Ramon Modesto Tallaj, M.DNPI 1487753497

Title

Physician

Phone

(718) 294-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve Trikounakis, RPA-C

  • Physician Assistant
  • Garnerville, NY
  • NPI 1235341959
  Medicare reassignment Care Compare group NPD
• Emilio Ivan Perez, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1912149915
  Medicare reassignment Care Compare group
• Ramon Modesto Tallaj, M.D.

  • Legal Medicine
  • New York, NY
  • NPI 1487753497
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1235316563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 ACADEMY ST",
            "address_2": "STE GLE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345104",
            "telephone_number": "212-567-0550",
            "fax_number": "212-567-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 UNIVERSITY AVE.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536948",
            "telephone_number": "718-294-4008",
            "fax_number": "718-294-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.W MEDICAL OFFICE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "TALLAJ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "MODESTO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-294-4008",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "639AH1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A-1 Ambulette, Inc. (Senior Ride Transpotation)
• A-Life Saver Home Care Services Inc.
• A.G. Fashion Optical Corp
• A.J.Unlimited,Inc.
• A.M.C White LLC (Eye Care Specifics)
• A&B Chiropractic
• A&G Medical Supply
• Aa Administrative Services, Inc
• Aa Comprehensive Medical Care PC
• Aaa Hearing AIDS & Services, Inc.

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.