NPIMap

Organization Active NPI

Uptown Healthcare Management Inc.

Doing business as East Tremont Medical Center

  • Dermatology Physician
  • Bronx, NY
National Provider Identifier
1336173194
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
086172 Issued in NY
Legal business name
UPTOWN HEALTHCARE MANAGEMENT INC.
Doing business as
East Tremont Medical Center
Practice address
930 East Tremont Avenue
Bronx, NY 10460
Phone
(718) 764-1661
Fax
(646) 224-1320
NPI assigned
Jul 10, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
UPTOWN HEALTHCARE MANAGEMENT INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. H Ahmed, MD
Title
Director of Administration
Phone
(718) 764-1661

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 086172 NY Primary
Internal Medicine Physician 207R00000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Gastroenterology Physician 207RG0100X
Obstetrics & Gynecology Physician 207V00000X
Ophthalmology Physician 207W00000X
Surgery Physician 208600000X
Urology Physician 208800000X
Podiatrist 213E00000X
Physical Therapist 225100000X

Addresses

Primary practice location

930 East Tremont Avenue
Bronx, NY 10460

Mailing address

930 East Tremont Avenue
Bronx, NY 10460-4304
Phone (718) 764-1633

Other identifiers 1

IdentifierTypeStateIssuer
01672999MedicaidNY

Other names 1

  • East Tremont Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001661 NY Part B Supplier - Clinic/Group Practice 4082506969 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
Practice locations: Bronx, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Uptown Healthcare Management Inc

Locations

1778 Jerome Ave
Bronx, NY 10453
Phone (718) 583-3300

930 E Tremont Ave
Fl 3
Bronx, NY 10460
Phone (718) 620-6068

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

4470 Broadway
Frnt 4
New York, NY 10040
Phone (212) 569-7144

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1336173194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 EAST TREMONT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604304",
            "telephone_number": "718-764-1633",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EAST TREMONT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-764-1661",
            "fax_number": "646-224-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN HEALTHCARE MANAGEMENT INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPTOWN HEALTHCARE MANAGEMENT INC.",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "DR. H",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "718-764-1661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "086172",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Tremont Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.