Active NPI
James J. Peters VA Medical Center
- Critical Access Hospital
- Bronx, NY
National Provider Identifier
1497911796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 075652
- Legal business name
- JAMES J. PETERS VA MEDICAL CENTER
- Practice address
- 130 W Kingsbridge Rd
Bronx, NY 10468-3904 - Phone
- (718) 584-9000
- NPI assigned
- Aug 6, 2008
- 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
- Mrs. Doris Yvette Purnell-Joe, LMSW
- Title
- Social Work
- Phone
- (718) 584-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 075652 | NY | Primary |
Addresses
Primary practice location
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Mailing address
130 West Kingsbridge Rd.
Bronx, NY 10468
Phone (718) 584-9000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1497911796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WEST KINGSBRIDGE RD.",
"city": "BRONX",
"state": "NY",
"postal_code": "10468",
"telephone_number": "718-584-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104683904",
"telephone_number": "718-584-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES J. PETERS VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "PURNELL-JOE",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "SOCIAL WORK",
"authorized_official_telephone_number": "718-584-9000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NY",
"license": "075652",
"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 Aug 6, 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.