Individual provider Active NPI

Punita Ponda, M.D.

  • Allergy & Immunology Physician
  • Bronx, NY
National Provider Identifier
1396838934
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
222225-1 Issued in NY
Practice address
1180 Morris Park Ave Ste 3
Bronx, NY 10461-1925
Phone
(347) 498-2410
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 222225-1 NY Primary

Addresses

Primary practice location

1180 Morris Park Ave Ste 3
Bronx, NY 10461-1925

Mailing address

1525 Blondell Ave Ste 1012ND
Bronx, NY 10461-2649
Phone (718) 405-8530

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061104000009 NY Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 9436156494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
State University of New York Downstate Medical Center, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
222225-1NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Allergy & Immunology CurrentSince Jul 1, 2012 Accepting new patients
Montefiore Medical Center CurrentSince Oct 11, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Oct 11, 2024 Accepting new patients
Asthma & Allergy Medical Care PC Allergy & Immunology PastSince Aug 1, 2020 Accepting new patients
North Shore Long Island Jewish Health Care Inc PastSince Mar 1, 2020 Accepting new patients
Allergy & Asthma Associates of Murray Hill, P C Allergy & Immunology Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1180 Morris Park Ave
Ste 3
Bronx, NY 10461
Phone (347) 498-2410

1525 Blondell Ave
Ste 1012ND
Bronx, NY 10461

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

865 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 622-5070

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: punponda@montefioredirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1396838934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLONDELL AVE STE 1012ND",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612649",
            "telephone_number": "718-405-8530",
            "fax_number": "718-405-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MORRIS PARK AVE STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611925",
            "telephone_number": "347-498-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDA",
        "first_name": "PUNITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "222225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.