Active NPI
Essen Medical Associates,PC
- Legal Medicine (M.D./D.O.) Physician
- Bronx, NY
National Provider Identifier
1477722502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine (M.D./D.O.) Physician
- Legal business name
- ESSEN MEDICAL ASSOCIATES,PC
- Practice address
- 1181 Grand Concourse
Bronx, NY 10452-8503 - Phone
- (718) 681-6565
- Fax
- (718) 681-1201
- NPI assigned
- Feb 22, 2008
- 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
- Mansi Aggarwal
- Title
- Administrator
- Phone
- (718) 731-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine (M.D./D.O.) Physician | 209800000X | Primary |
Addresses
Primary practice location
1181 Grand Concourse
Bronx, NY 10452-8503
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W34691 | Other | MEDICARE ID | |
| 02880591 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1087277 | Essen Medical Associates PC | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1477722502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104528503",
"telephone_number": "718-681-6565",
"fax_number": "718-681-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEN MEDICAL ASSOCIATES,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "AGGARWAL",
"authorized_official_first_name": "MANSI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "718-731-2020"
},
"taxonomies": [
{
"code": "209800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "W34691",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02880591",
"state": "NY"
}
],
"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 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.