Atac Medical Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

180769 Issued in NY

Legal business name

ATAC MEDICAL CARE PC

Practice address

1619 Pelham Pkwy N
Bronx, NY 10469-6416

Phone

(718) 881-2716

Fax

(718) 708-7790

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bulent Sadik AtacNPI 1942375134

Title

Doctor

Phone

(718) 881-2716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bulent Sadik Atac, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1942375134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497956544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696416",
            "telephone_number": "718-881-2716",
            "fax_number": "718-708-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696416",
            "telephone_number": "718-881-2716",
            "fax_number": "718-708-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATAC MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATAC",
        "authorized_official_first_name": "BULENT",
        "authorized_official_middle_name": "SADIK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-881-2716",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "180769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Asusta
• Chisom Asuzu, MD, MPH
• At Home Community Care Management LLC
• Haidi At-Stathi
• Subhan Ata, MD
• Bulent Sadik Atac, MD
• Ayce Atalay
• Eleftheria Frinta Atalla, MD
• Aivlys Kassandra Atanacio
• Ufuoma Atanda

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.