Bronxville Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

206163 Issued in NY

Legal business name

BRONXVILLE INTERNAL MEDICINE PC

Practice address

77 Pondfield Rd
Bronxville, NY 10708-3809

Phone

(914) 771-9286

Fax

(914) 771-5182

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mazan RabadiNPI 1235174194

Title

MD

Phone

(914) 771-9286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Bronxville Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bronxville Internal Medicine PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1881138766
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazan Rabadi, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1235174194
  Medicare reassignment Care Compare group NPD Authorized official
• Elaina Marie Ciardulli, FNP

  • Family Nurse Practitioner
  • White Plains, NY
  • NPI 1952628174
  Medicare reassignment Care Compare group NPD
• Susanne Y Lee, MD

  • Internal Medicine Physician
  • Scarsdale, NY
  • NPI 1922072115
  Medicare reassignment Care Compare group NPD
• Ashuwinder Kaur Singh, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1912058801
  Medicare reassignment Care Compare group NPD
• Elizabeth Rocco, MD

  • Internal Medicine Physician
  • Yorktown Heights, NY
  • NPI 1922174077
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346378429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-771-9286",
            "fax_number": "914-771-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-771-9286",
            "fax_number": "914-771-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "MAZAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-771-9286"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braulio Flores, MD, PLLC
• Kory A Breitel, DMD
• Bronxville Cardiology Associates
• Bronxville Dental P.C.
• Bronxville Eye Associates LLC
• Bronxville Pathology Associates PC
• Bronxville Pharmacy Inc
• Bronxville Plastic Surgery, PC
• Bronxville Psychiatric Wellness Group, P.C.
• Bronxville Vision Care

• Internal Medicine Physician in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Internal Medicine Physician in New York

• 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.
• 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.