Tracy Towers Medical P.C.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

203633 Issued in NY

Legal business name

TRACY TOWERS MEDICAL P.C.

Practice address

1560 Grand Concourse
Suite 102
Bronx, NY 10457-8402

Phone

(718) 733-6369

Fax

(718) 294-4365

NPI assigned

Jul 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chaula Patel, M.D.NPI 1861570558

Title

President

Phone

71873363669

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Chaula P. Patel, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1861570558
  Medicare reassignment NPD Authorized official
• Paresh Patel

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1407606601
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1518197052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 GRAND CONCOURSE",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578402",
            "telephone_number": "718-733-6369",
            "fax_number": "718-294-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 GRAND CONCOURSE",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104578402",
            "telephone_number": "718-733-6369",
            "fax_number": "718-294-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY TOWERS MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "71873363669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "203633",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "203633",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "203633",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "203633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigid Alice Tracey, G.N.P.
• Erica Tracey, LCSW
• Kristen Ann Tracey, DPT
• Rebecca Trachtman
• Traction Physical Therapy PLLC
• Monica Traczik, R.N.
• Hajar Traiba
• Joseph Simon Trainer
• Meredith Trainor, LMSW
• Justin Tram

• Exclusive Provider Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.