Organization Active NPI

Bronxville Pathology Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bronxville, NY
National Provider Identifier
1366420010
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
141707 Issued in NY
Legal business name
BRONXVILLE PATHOLOGY ASSOCIATES PC
Practice address
55 Palmer Rd
Lawrence Hospital Center
Bronxville, NY 10708-4103
Phone
(914) 787-3265
Fax
(914) 787-3269
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Jose E. Maccera, M.D.
Title
President
Phone
(914) 771-5887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 141707 NY Primary

Addresses

Primary practice location

55 Palmer Rd
Lawrence Hospital Center
Bronxville, NY 10708-4103

Mailing address

17 Kraft Ave
Bronxville, NY 10708-4103
Phone (914) 771-5887

Other identifiers 1

IdentifierTypeStateIssuer
P-52352515OtherNYMULTIPLAN

National Provider Directory

National Provider Directory

Locations

17 Kraft Ave
Bronxville, NY 10708

17 Kraft Ave
Ofc
Bronxville, NY 10708

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1366420010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KRAFT AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084103",
            "telephone_number": "914-771-5887",
            "fax_number": "914-771-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER RD",
            "address_2": "LAWRENCE HOSPITAL CENTER",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084103",
            "telephone_number": "914-787-3265",
            "fax_number": "914-787-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE PATHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MACCERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-771-5887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "141707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P-52352515",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.