Active NPI
Medical Care of Ny PC
- General Practice Physician
- Bronx, NY
National Provider Identifier
1396458725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL CARE OF NY PC
- Practice address
- 1387 Castle Hill Ave Ste 6
Bronx, NY 10462-4833 - Phone
- (718) 931-4200
- Fax
- (718) 931-8869
- NPI assigned
- Dec 30, 2022
- Last updated
- Jan 3, 2023
- Organization subpart
- Yes
- Parent organization
- MEDICAL CARE OF NY PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Niberto Angel Moreno
- Title
- Ao
- Phone
- (305) 662-5200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1387 Castle Hill Ave Ste 6
Bronx, NY 10462-4833
Mailing address
1387 Castle Hill Ave Ste 6
Bronx, NY 10462-4833
Phone (718) 931-4200
Other practice location 1
1387 Castle Hill Ave Ste 6
Bronx, NY 10462-4833
Phone (718) 931-4200
National Provider Directory
National Provider Directory- Part of
- Medical Care of Ny PC
Locations
651 River Ave
Ste 105
Bronx, NY 10451
Phone (718) 874-9793
2244 Church Ave
Ste 301
Brooklyn, NY 11226
Phone (718) 996-8388
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Physician
- New York, NY
- NPI 1477217941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1396458725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 CASTLE HILL AVE STE 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104624833",
"telephone_number": "718-931-4200",
"fax_number": "718-931-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 CASTLE HILL AVE STE 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104624833",
"telephone_number": "718-931-4200",
"fax_number": "718-931-8869"
}
],
"practiceLocations": [
{
"address_1": "1387 Castle Hill Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104624833",
"country_code": "US",
"telephone_number": "718-931-4200",
"fax_number": "718-931-8869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL CARE OF NY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL CARE OF NY PC",
"enumeration_date": "2022-12-30",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "NIBERTO",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "305-662-5200"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.