NPIMap

Organization Active NPI

Nyc Community Medical Care

  • Multi-Specialty Clinic/Center
  • Bronx, NY
National Provider Identifier
1427486703
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NYC COMMUNITY MEDICAL CARE
Practice address
1268 White Plains Rd
Bronx, NY 10472-4904
Phone
(516) 668-8930
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Ataul ChowdhuryNPI 1043295413
Title
President
Phone
(631) 456-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1268 White Plains Rd
Bronx, NY 10472-4904

Mailing address

1268 White Plains Rd
Bronx, NY 10472-4904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304001321 NY Part B Supplier - Clinic/Group Practice 5395975775 Receives reassigned benefits from 7 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Tax ID family
Nyc Community Medical Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1427486703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104724904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104724904",
            "telephone_number": "516-668-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC COMMUNITY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "ATAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-456-4447"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.