Active NPI
Andresito B. Pacis MD P.C
- Diagnostic Radiology Physician
- Bronx, NY
National Provider Identifier
1306074091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ANDRESITO B. PACIS MD P.C
- Practice address
- 3130 Grand Concourse Suite 1P
Andresito B. Pacis MD P.C Attn Mosholu Park Radiology
Bronx, NY 10458 - Phone
- (718) 933-6969
- Fax
- (718) 933-6970
- NPI assigned
- Jul 1, 2009
- 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
- Andresito B Pacis, M.D
- Title
- President
- Phone
- (718) 933-6969
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
3130 Grand Concourse Suite 1P
Andresito B. Pacis MD P.C Attn Mosholu Park Radiology
Bronx, NY 10458
Mailing address
3130 Grand Concourse Suite 1P
Attn Mosholu Park Radiology
Bronx, NY 10458
Phone (718) 933-6969
National Provider Directory
National Provider DirectoryLocations
3130 Grand Concourse
Ste 1B
Bronx, NY 10458
Phone (718) 933-6969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246406400000",
"number": "1306074091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 GRAND CONCOURSE SUITE 1P",
"address_2": "ATTN MOSHOLU PARK RADIOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "10458",
"telephone_number": "718-933-6969",
"fax_number": "718-933-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 GRAND CONCOURSE SUITE 1P",
"address_2": "ANDRESITO B. PACIS MD P.C ATTN MOSHOLU PARK RADIOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "10458",
"telephone_number": "718-933-6969",
"fax_number": "718-933-6970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDRESITO B. PACIS MD P.C",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A",
"authorized_official_last_name": "PACIS",
"authorized_official_first_name": "ANDRESITO",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-933-6969",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"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 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.