Nyccc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2084P0804X Issued in NY

Legal business name

NYCCC

Practice address

1000 Waters PL
Bronx, NY 10461-2701

Phone

(718) 239-3600

Fax

(718) 239-3669

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Miss Brenda Grier, M.D., D.O.

Title

Administrative Secretary 1

Phone

(718) 239-3745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1245612803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WATERS PLACE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-239-3600",
            "fax_number": "718-239-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612701",
            "telephone_number": "718-239-3600",
            "fax_number": "718-239-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY 1",
        "authorized_official_telephone_number": "718-239-3745",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D., D.O."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "2084P0804X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nyciti Care LLC
• Nyconn Orthopaedic & Rehabilitation Specialists, PLLC
• Nyconn Orthopaedic & Rehabilitation Specialists, PLLC

• Preferred Provider Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.