Organization Active NPI

Jerome Pediatric P.C

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1497078554
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
233015 Issued in NY
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

Updated by the provider on Mar 3, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.