NPIMap

Organization Active NPI

Premium Bronx Corp

  • Taxi
  • Bronx, NY
National Provider Identifier
1285179788
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B00457 Issued in NY
Legal business name
PREMIUM BRONX CORP
Practice address
900 E Tremont Ave
Bronx, NY 10460-4355
Phone
(718) 620-2020
Fax
(347) 498-1751
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mr. Astor Alvarez
Title
Manager
Phone
(718) 620-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X B00457 NY Primary

Addresses

Primary practice location

900 E Tremont Ave
Bronx, NY 10460-4355

Mailing address

900 E Tremont Ave
Bronx, NY 10460-4355
Phone (718) 620-2020

Other identifiers 1

IdentifierTypeStateIssuer
04009674MedicaidNY

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": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1285179788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604355",
            "telephone_number": "718-620-2020",
            "fax_number": "347-498-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604355",
            "telephone_number": "718-620-2020",
            "fax_number": "347-498-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM BRONX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ASTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-620-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B00457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009674",
            "state": "NY"
        }
    ],
    "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 Dec 20, 2016; 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.