Pelham Parkway SC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PELHAM PARKWAY SC LLC

Practice address

1000 Pelham Pkwy S
Bronx, NY 10461-1003

Phone

(201) 693-2233

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Soloman Rutenberg

Title

Manager and Member

Phone

(917) 414-7333

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1316718646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611003",
            "telephone_number": "201-693-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PARKWAY SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "RUTENBERG",
        "authorized_official_first_name": "SOLOMAN",
        "authorized_official_title_or_position": "MANAGER AND MEMBER",
        "authorized_official_telephone_number": "917-414-7333"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pelham Bay Medical Care for Women PC
• Pelham City Pharmacy Inc
• Pelham Medical Associates, PC
• Pelham Parkway Dental Associates PC
• Pelham Parkway Nursing Care & Rehabilitation Facility, LLC
• Pelham Parkway Vision Center Inc
• Pelham Pharmacy Inc
• Pelham Physical Medicine Inc
• Pelham Physical Medicine Inc
• Pelham Pkwy Medical of New York LLC

• Ambulatory Surgical Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.