NPIMap

Organization Active NPI

Bronxcare Health System

  • General Acute Care Hospital
  • Bronx, NY
National Provider Identifier
1417027558
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7000001H Issued in NY
Legal business name
BRONXCARE HEALTH SYSTEM
Practice address
1650 Grand Concourse
Bronx, NY 10457
Phone
(718) 901-8600
Fax
(718) 293-1475
NPI assigned
Nov 8, 2006
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Mr. Victor G Demarco, CPA
Title
Senior VP- Chief Financial Officer
Phone
(718) 901-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 7000001H NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457

Mailing address

1276 Fulton Ave
Bronx, NY 10456-3402
Phone (718) 901-8600

Other identifiers 2

IdentifierTypeStateIssuer
000083NOtherNYBLUE CROSS
00476022MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000725 NY Part A Provider - Hospital 3870404429 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417027558. Details of each certification follow.

Hospital certification: CCN 330009

Legal name
BRONXCARE HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 13, 2023
Beds
579
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1962 in NY
Enrollment address
1650 Grand Concourse
Bronx, NY 10457-7679
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bronxcare Hospital CenterCCN 330009 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
BLHC OB GYN Group28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations (25 of 49)

1170 Grand Concourse
Bronx, NY 10456

1265 Franklin Ave
Bronx, NY 10456
Phone (718) 503-7700

1265 Franklin Ave
Fl 6A
Bronx, NY 10456

1265 Franklin Ave
Fl 6B
Bronx, NY 10456

1265 Franklin Ave
Fl 8
Bronx, NY 10456
Phone (718) 466-6081

1276 Fulton Ave
#3
Bronx, NY 10456

1276 Fulton Ave
Fl 1B
Bronx, NY 10456

1276 Fulton Ave
Fl 58
Bronx, NY 10456

1276 Fulton Ave
Fl 8
Bronx, NY 10456
Phone (718) 901-6492

1276 Fulton Ave
Fl A
Bronx, NY 10456

1276 Fulton Ave
Fl B
Bronx, NY 10456

1309 Fulton Ave
Fl 4
Bronx, NY 10456

1591 Fulton Ave
Ofc 1
Bronx, NY 10457

1650 Grand Concourse
#14
Bronx, NY 10457

1650 Grand Concourse
#7F
Bronx, NY 10457
Phone (718) 960-1261

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

1650 Grand Concourse
Fl 11
Bronx, NY 10457
Phone (201) 615-6204

1650 Grand Concourse
Fl 11A
Bronx, NY 10457

1650 Grand Concourse
Fl 11B
Bronx, NY 10457

1650 Grand Concourse
Fl 14
Bronx, NY 10457
Phone (718) 518-5085

1650 Grand Concourse
Fl 17
Bronx, NY 10457
Phone (718) 518-5557

1650 Grand Concourse
Fl 1A
Bronx, NY 10457

1650 Grand Concourse
Fl 1B
Bronx, NY 10457

1650 Grand Concourse
Fl 5
Bronx, NY 10457
Phone (718) 239-8383

1650 Grand Concourse
Fl 5A
Bronx, NY 10457

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dormitory Authority of the State of New York Organization, Albany, NY 5% Or Greater Mortgage Interest Feb 26, 2009 7.75%
Barbara a Lowe Individual Corporate DirectorBoard Member Oct 10, 2000
TD Bank N.a. Organization, Portland, ME Financial institution 5% Or Greater Mortgage Interest Feb 26, 2009 7.75%
Fredrick Gilbert Individual Corporate DirectorBoard Member Jul 13, 2021
Luis Francisco Individual W-2 Managing EmployeeIt Manager Oct 3, 2016
John R Colon Individual Corporate DirectorBoard Member Jan 9, 2007
Milagros Baez O'Toole Individual Corporate DirectorBoard Member Jan 1, 2013
Miguel Fuentes Individual Corporate OfficerPresident & Chief Executive Offi May 6, 1987
Corporate DirectorBoard Member May 6, 1987
William Aguado Individual Corporate DirectorBoard Member Jul 13, 2021
Cristina Toosie Individual Corporate DirectorBoard Member Jan 9, 1990
Victor G Demarco Individual Corporate OfficerSenior Vice President and Chief Nov 1, 1999
W-2 Managing EmployeeChief Financial Officer and Seni Nov 1, 1999
Ricardo R. Fernandez Individual Corporate DirectorBoard Member May 12, 1992
Rita Dimartino Individual Corporate DirectorBoard Member Sep 15, 1987

Practitioners & affiliated clinicians

Practitioners 285

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 285

Affiliated clinicians 340

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 340

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1417027558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-8600",
            "fax_number": "718-293-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-901-8600",
            "fax_number": "718-293-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXCARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR VP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-901-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7000001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000083N",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.