Organization Active NPI

Andresito B. Pacis MD P.C

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1306074091
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Jul 1, 2009

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.