Pambo Medical Neuro-Rehabilitation PC

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X

License

192310 Issued in NY

Legal business name

PAMBO MEDICAL NEURO-REHABILITATION PC

Practice address

930 Grand Concourse
Suite 1J
Bronx, NY 10451-2705

Phone

(718) 410-5000

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Osafradu Opam, MD

Title

President

Phone

(718) 410-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1477822138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 GRAND CONCOURSE",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512705",
            "telephone_number": "718-410-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GRAND CONCOURSE",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512705",
            "telephone_number": "718-410-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMBO MEDICAL NEURO-REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "OPAM",
        "authorized_official_first_name": "OSAFRADU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-410-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NY",
            "license": "192310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Palomino, DNP
• Yesenia Palomino, LMSW
• Samuel Calis Palomo, SP.ED.TEACHER
• Evelyn Palumbo
• Kieran Elliot Palumbo
• Vahila Pamidimukkala
• Alexandra Grace Pamiloza, MPH, CHES
• Tomas Pamparas
• Shanta Kerina Pamphile, MA
• Michael Pamplona, PA

• Neuromuscular Medicine (Psychiatry & Neurology) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neuromuscular Medicine (Psychiatry & Neurology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.