Kingsbridge Medical Services, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KINGSBRIDGE MEDICAL SERVICES, PLLC

Practice address

5546 Broadway
Bronx, NY 10463-5250

Phone

(917) 688-4590

Fax

(917) 688-4591

NPI assigned

Jun 11, 2018

Last updated

Oct 18, 2018By 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. Rajesh Gupta, MD

Title

Medical Director

Phone

(917) 688-4590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1275026635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635250",
            "telephone_number": "917-688-4590",
            "fax_number": "917-688-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635250",
            "telephone_number": "917-688-4590",
            "fax_number": "917-688-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBRIDGE MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-688-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiral Kingsberry, M.S., M.H.
• Kingsbridge Adult Day Care LLC
• Kingsbridge Community Medical PC
• Kingsbridge Heights Care Ctr Inc. (Kingsbridge Heights Rehabilitation and Care Center)
• Kingsbridge Heights Lthhcp
• Kingsbridge Optometric Eye Care P.C. (kingsbridge eye center)
• Kingsbridge Pharmacy Corp (Kingsbridge Pharmacy)
• Kingsbridge Pharmacy RX Corp. (Kingsbridge Pharmacy)
• Kingscross Children Therapy and Autism Services
• Nunichu B Kingsley, LPN,RN

• 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 Oct 18, 2018; 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.