Organization Active NPI

Ac Medical PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1508128927
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AC MEDICAL PC
Practice address
1942 Williamsbridge Rd
Bronx, NY 10461-1605
Phone
(718) 684-2580
Fax
(718) 684-2588
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Albert Ciancimino, MD
Title
Owner
Phone
(718) 789-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1942 Williamsbridge Rd
Bronx, NY 10461-1605

Mailing address

135 Eastern Pkwy
Suite #1I
Brooklyn, NY 11238-6054
Phone (718) 789-2600

National Provider Directory

National Provider Directory

Locations

135 Eastern Pkwy
Ste 1I
Brooklyn, NY 11238
Phone (718) 230-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1508128927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EASTERN PKWY",
            "address_2": "SUITE #1I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386054",
            "telephone_number": "718-789-2600",
            "fax_number": "718-789-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611605",
            "telephone_number": "718-684-2580",
            "fax_number": "718-684-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "CIANCIMINO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-789-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jun 12, 2012; 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.