Active NPI
Jerome Pediatric P.C
- Primary Care Clinic/Center
- Bronx, NY
National Provider Identifier
1497078554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 233015
- Legal business name
- JEROME PEDIATRIC P.C
- Practice address
- 2386 Jerome Ave
Bronx, NY 10468-6401 - Phone
- (718) 220-1771
- Fax
- (718) 220-1775
- NPI assigned
- Mar 3, 2010
- 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
- Giancarlo R Guido
- Title
- Director
- Phone
- (718) 220-1771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 233015 | NY | Primary |
Addresses
Primary practice location
2386 Jerome Ave
Bronx, NY 10468-6401
Mailing address
2386 Jerome Ave
Bronx, NY 10468-6401
Phone (718) 220-1771
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1497078554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686401",
"telephone_number": "718-220-1771",
"fax_number": "718-220-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2386 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686401",
"telephone_number": "718-220-1771",
"fax_number": "718-220-1775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME PEDIATRIC P.C",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "GUIDO",
"authorized_official_first_name": "GIANCARLO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-220-1771"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "233015",
"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 Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.