Bronx United Ipa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRONX UNITED IPA

Practice address

140 Wadsworth Ave Apt 4
New York, NY 10033-4817

Phone

(646) 417-0500

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bienvenido Fajardo, M.D.

Title

Ceo

Phone

(646) 417-0500

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508299132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334817",
            "telephone_number": "646-417-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH AVE APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334817",
            "telephone_number": "646-417-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX UNITED IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-417-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Anne Bronstein
• Richard M Bronstein, D.D.S.
• Stephanie Robin Bronstein, OTR/L
• David Joseph Bronster, MD
• Bronx Medical Care PC
• Brielle Brook, LMSW
• Daniel L. Brook, M.D.
• Michael C Brook, PH.D.
• Randi Sue Brook, MS, RD, CDE, CDN
• Sally Brooke-Smith, D.C.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.