NPIMap

Organization Active NPI

Our Lady of Mercy Medical Center

  • Psychiatric Hospital Unit
  • Bronx, NY
National Provider Identifier
1508074261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
101796 Issued in NY
Legal business name
OUR LADY OF MERCY MEDICAL CENTER
Practice address
4401 Bronx Blvd
Bronx, NY 10470-1407
Phone
(717) 304-7000
Fax
(718) 304-7065
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ahmed Hakki, MD
Title
Chif Psychiatrist, Ambulatory Psych
Phone
(717) 304-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 101796 NY Primary

Addresses

Primary practice location

4401 Bronx Blvd
Bronx, NY 10470-1407

Mailing address

4401 Bronx Blvd
Bronx, NY 10470-1407
Phone (717) 304-7000

Other identifiers 1

IdentifierTypeStateIssuer
00337013MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Our Lady of Mercy Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508074261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701407",
            "telephone_number": "717-304-7000",
            "fax_number": "718-304-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701407",
            "telephone_number": "717-304-7000",
            "fax_number": "718-304-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAKKI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CHIF PSYCHIATRIST, AMBULATORY PSYCH",
        "authorized_official_telephone_number": "717-304-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "101796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00337013",
            "state": "NY"
        }
    ],
    "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 22, 2020; 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.