Organization Active NPI

Barnes Avenue Medical Associates, LLP

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1356583959
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BARNES AVENUE MEDICAL ASSOCIATES, LLP
Practice address
2134 Barnes Ave
Bronx, NY 10462-1902
Phone
(718) 828-3663
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Gerson Gluck
Title
MD
Phone
(718) 828-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2134 Barnes Ave
Bronx, NY 10462-1902

Mailing address

2134 Barnes Ave
Bronx, NY 10462-1902

National Provider Directory

National Provider Directory

Locations

2134 Barnes Ave
Bronx, NY 10462
Phone (718) 828-3663

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1356583959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 BARNES AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621902",
            "telephone_number": "718-828-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES AVENUE MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "GERSON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-828-3663"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Mar 27, 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.