Active NPI
Cmors Medical, P.C.
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1285794024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210513
- Legal business name
- CMORS MEDICAL, P.C.
- Practice address
- 3130 Grand Concourse
Suite B4
Bronx, NY 10458-1213 - Phone
- (718) 367-8800
- Fax
- (718) 367-4047
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas G Obrien II, D.O
- Title
- Medical Director
- Phone
- (718) 367-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 210513 | NY | Primary |
Addresses
Primary practice location
3130 Grand Concourse
Suite B4
Bronx, NY 10458-1213
Mailing address
3130 Grand Concourse
Suite B4
Bronx, NY 10458-1213
Phone (718) 367-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021579 | Other | NY | MEDICAL LICENSE |
| 028117 | Other | NY | MEDICAL LICENSE |
| 210513 | Other | NY | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
3235 Grand Concourse
Bsmt
Bronx, NY 10468
Phone (718) 367-8800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bronx, NY
- NPI 1922205400
-
- Physical Therapist
- Flushing, NY
- NPI 1538111802
-
- Physical Therapist
- Snellville, GA
- NPI 1053408427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1285794024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 GRAND CONCOURSE",
"address_2": "SUITE B4",
"city": "BRONX",
"state": "NY",
"postal_code": "104581213",
"telephone_number": "718-367-8800",
"fax_number": "718-367-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 GRAND CONCOURSE",
"address_2": "SUITE B4",
"city": "BRONX",
"state": "NY",
"postal_code": "104581213",
"telephone_number": "718-367-8800",
"fax_number": "718-367-4047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMORS MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-367-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "210513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "021579",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "028117",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "210513",
"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 Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.