Organization Active NPI

Montefiore Medical Center

  • Student Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1386130250
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTEFIORE MEDICAL CENTER
Practice address
1180 Tinton Ave
Bronx, NY 10456-5436
Phone
(718) 828-3235
Fax
(718) 860-8346
NPI assigned
Jul 3, 2018
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Michael G Dowling
Title
Cao
Phone
(914) 377-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1180 Tinton Ave
Bronx, NY 10456-5436

Mailing address

1180 Tinton Ave
Bronx, NY 10456-5436
Phone (718) 828-3235

Other names 1

  • MMC at PS 198 Other name

National Provider Directory

National Provider Directory
Tax ID family
MMC Rehab Medicine520 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1180 Tinton Ave
Bronx, NY 10456
Phone (718) 842-8133

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1386130250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 TINTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565436",
            "telephone_number": "718-828-3235",
            "fax_number": "718-860-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 TINTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565436",
            "telephone_number": "718-828-3235",
            "fax_number": "718-860-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "914-377-4668"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMC at PS 198",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 3, 2018; 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.