Active NPI
Multimedic Medical Services PLLC
- Pulmonary Disease Physician
- Bronx, NY
National Provider Identifier
1376806380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 186141
- Legal business name
- MULTIMEDIC MEDICAL SERVICES PLLC
- Practice address
- 1070 Southern Blvd
Bronx, NY 10459-3268 - Phone
- (347) 242-4436
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Deleon, MD
- Title
- President
- Phone
- (347) 242-4436
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 186141 | NY | Primary |
Addresses
Primary practice location
1070 Southern Blvd
Bronx, NY 10459-3268
Mailing address
96 Linwood PLZ # 410
Fort Lee, NJ 07024-3701
Phone (347) 242-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82K211 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1770589111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443744000000",
"number": "1376806380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 LINWOOD PLZ # 410",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243701",
"telephone_number": "347-242-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104593268",
"telephone_number": "347-242-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTIMEDIC MEDICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2015-10-02",
"status": "A",
"authorized_official_last_name": "DELEON",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-242-4436",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "186141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "82K211",
"state": null
}
],
"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 Oct 2, 2015; 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.