Bronx Pediatrics, PC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

212539-1 Issued in NY

Legal business name

BRONX PEDIATRICS, PC

Practice address

2869 Grand Concourse Ste 1
Bronx, NY 10468-1966

Phone

(718) 220-6272

Fax

(718) 220-6270

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Angel L Aquino

Title

Administrator

Phone

(718) 220-6272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bronx Pediatrics, PC Former legal business name

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1497908826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 GRAND CONCOURSE AVE.",
            "address_2": "STE. 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-220-6272",
            "fax_number": "718-220-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 GRAND CONCOURSE STE 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681966",
            "telephone_number": "718-220-6272",
            "fax_number": "718-220-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-220-6272"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "212539-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02255127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Pediatrics, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Endocrinology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.