The Pac Program of the Bronx

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

100411691 Issued in NY

Legal business name

THE PAC PROGRAM OF THE BRONX

Practice address

1215 Stratford Ave
Bronx, NY 10472-2501

Phone

(718) 328-2605

Fax

(718) 328-2609

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Zeev Bannett

Title

Cfo

Phone

(908) 705-4902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Evelyn Burroughs, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
  • NPI 1497995476
  NPD (past)
• Anna Maria Mendez, C.A.S.A.C.

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
  • NPI 1700015021
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1497981328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 STRATFORD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722501",
            "telephone_number": "718-328-2605",
            "fax_number": "718-328-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 STRATFORD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722501",
            "telephone_number": "718-328-2605",
            "fax_number": "718-328-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAC PROGRAM OF THE BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "BANNETT",
        "authorized_official_first_name": "ZEEV",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "908-705-4902"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "100411691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OPERATING CERTIFICATE",
            "identifier": "100411691",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The New Pharmacy Inc
• The New York Institute for Special Education
• The NP in Family Health Haven PLLC
• The Option Transportation Corp
• The Osborne Association, Inc.
• The Podiatric Surgeon, P.C.
• The Port Morris Wellness Center
• The Prado of Transitioning Forward, Inc.
• The Puerto Rican Family Institute Inc.
• The Rainbow Adult Day Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.