Bronx Psychiatric Services PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

127526 Issued in NY

Legal business name

BRONX PSYCHIATRIC SERVICES PC

Practice address

4422 3Rd Ave
Bronx, NY 10457-2545

Phone

(718) 960-6159

NPI assigned

Apr 2, 2007

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Burgess, M.D.

Title

President

Phone

(718) 960-6159

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1417078247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-960-6159",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "127526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02737671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychiatric Center
• Bronx Psychology Services, PLLC
• Bronx Pulmonary Center LLC
• Bronx Pulmonary Medical,PLLC (Monroe Karetzky, MD,PA)
• Bronx Queens Dental Care PC
• Bronx Radiology P.C.

• Neurology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.