Organization Active NPI

Advance Primary Specialty Care

  • Preferred Provider Organization
  • Bronx, NY
National Provider Identifier
1386960052
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ADVANCE PRIMARY SPECIALTY CARE
Practice address
1957 Southern Blvd
2ND FL
Bronx, NY 10460-1419
Phone
(718) 299-1091
Fax
(718) 299-1230
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Lawrence Chiaramonte, M.D.
Title
Medical Director
Phone
(718) 299-1091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1957 Southern Blvd
2ND FL
Bronx, NY 10460-1419

Mailing address

1957 Southern Blvd
2ND FL
Bronx, NY 10460-1419
Phone (718) 299-1091

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1386960052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 SOUTHERN BLVD",
            "address_2": "2ND FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601419",
            "telephone_number": "718-299-1091",
            "fax_number": "718-299-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 SOUTHERN BLVD",
            "address_2": "2ND FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601419",
            "telephone_number": "718-299-1091",
            "fax_number": "718-299-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PRIMARY SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "CHIARAMONTE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-299-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "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 Apr 21, 2010; 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.