Organization Active NPI

Medcareplus, PLLC

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1265720221
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
250592 Issued in NY
Legal business name
MEDCAREPLUS, PLLC
Practice address
1643 Westchester Ave
Bronx, NY 10472-2916
Phone
(718) 328-1900
Fax
(718) 328-1901
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Alseny Balde, MD, MPHNPI 1215004536
Title
Manager
Phone
(502) 572-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 250592 NY Primary

Addresses

Primary practice location

1643 Westchester Ave
Bronx, NY 10472-2916

Mailing address

96 Kensington MNR
Middletown, NY 10941-1800
Phone (502) 572-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110714000488 NY Part B Supplier - Clinic/Group Practice 8527236777 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2023927Medcareplus, PLLC1643 Westchester Avenue, Bronx, NY 10472Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1265720221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 KENSINGTON MNR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411800",
            "telephone_number": "502-572-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722916",
            "telephone_number": "718-328-1900",
            "fax_number": "718-328-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCAREPLUS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "BALDE",
        "authorized_official_first_name": "ALSENY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-572-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "250592",
            "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 Jul 12, 2011; 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.