NPIMap

Organization Active NPI

Montefiore at 1 Fordham Plaza

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1487848123
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7000006H Issued in NY
Legal business name
MONTEFIORE AT 1 FORDHAM PLAZA
Practice address
1 Fordham PLZ
Family Health Center
Bronx, NY 10458-5871
Phone
(929) 220-8400
Fax
(929) 220-8092
NPI assigned
Sep 5, 2007
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEFIORE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Michael G Dowling
Title
Director
Phone
(914) 377-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 7000006H NY Primary

Addresses

Primary practice location

1 Fordham PLZ
Family Health Center
Bronx, NY 10458-5871

Mailing address

100 Corporate Dr
Cmo
Yonkers, NY 10701-6807
Phone (914) 377-4722

National Provider Directory

National Provider Directory
Tax ID family
MMC Rehab Medicine520 organizations share this tax ID, including this one
Part of
MMC Rehab Medicine

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1 Fordham Plz
Bronx, NY 10458
Phone (718) 405-4010

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1487848123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR",
            "address_2": "CMO",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016807",
            "telephone_number": "914-377-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ",
            "address_2": "FAMILY HEALTH CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585871",
            "telephone_number": "929-220-8400",
            "fax_number": "929-220-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE AT 1 FORDHAM PLAZA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEFIORE MEDICAL CENTER",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-377-4668"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "7000006H",
            "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 Nov 13, 2014; 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.