NPIMap

Organization Active NPI

MCC-Ny

  • Prison Health Clinic/Center
  • Nyc, NY
National Provider Identifier
1275808669
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
MCC-NY
Practice address
150 Park Row
Nyc, NY 10007
Phone
(646) 836-6428
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BOPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Anthony Bussanich
Title
MD
Phone
(646) 836-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NY Primary

Addresses

Primary practice location

150 Park Row
Nyc, NY 10007

Mailing address

203 N.16 Street
2ND Floor
Bloomfield, NJ 07003
Phone (973) 968-1409

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one
Part of
Cape Cod Anesthesia Associates

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

150 Park Row
New York, NY 10007
Phone (646) 836-6335

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1275808669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N.16 STREET",
            "address_2": "2ND FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-968-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK ROW",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "646-836-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC-NY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOP",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BUSSANICH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-836-6428"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.