NPIMap

Organization Active NPI

Montefiore Medical Park

  • Mobile Radiology Clinic/Center
  • Bronx, NY
National Provider Identifier
1306990478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
011243-1 Issued in NY
Legal business name
MONTEFIORE MEDICAL PARK
Practice address
1625 Poplar St
Radiology Suite#100
Bronx, NY 10461-2653
Phone
(718) 405-8440
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Afsana Sharmin, PANPI 1053433904
Title
Physician Assistant
Phone
(646) 238-4864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 011243-1 NY Primary

Addresses

Primary practice location

1625 Poplar St
Radiology Suite#100
Bronx, NY 10461-2653

Mailing address

2266 Gleason Ave Apt 6a
Bronx, NY 10462-5113

National Provider Directory

National Provider Directory

Locations

1625 Poplar St
Ste 100
Bronx, NY 10461
Phone (718) 405-8440

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306990478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 GLEASON AVE APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 POPLAR ST",
            "address_2": "RADIOLOGY SUITE#100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612653",
            "telephone_number": "718-405-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MEDICAL PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMIN",
        "authorized_official_first_name": "AFSANA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "646-238-4864",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "011243-1",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.