Organization Active NPI

Medical Care of Ny PC

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1396458725
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL CARE OF NY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.