Active NPI
Uptown Nephrology Medicine PC
- Nephrology Physician
- Bronx, NY
National Provider Identifier
1457044174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- UPTOWN NEPHROLOGY MEDICINE PC
- Practice address
- 1025 Grand Concourse
Bronx, NY 10452-9107 - Phone
- (917) 715-6417
- Fax
- (718) 228-5909
- NPI assigned
- May 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriela Maria Henriquez
- Title
- MD
- Phone
- (347) 429-2004
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1025 Grand Concourse
Bronx, NY 10452-9107
Mailing address
2676 Grand Concourse
Bronx, NY 10458-4914
Phone (917) 715-6417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1025 Grand Concourse
Bronx, NY 10452
Phone (718) 681-4242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1083906564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1457044174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104584914",
"telephone_number": "917-715-6417",
"fax_number": "718-231-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104529107",
"telephone_number": "917-715-6417",
"fax_number": "718-228-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN NEPHROLOGY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-30",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "HENRIQUEZ",
"authorized_official_first_name": "GABRIELA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "347-429-2004",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"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 Feb 9, 2026; 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.