James J Peters Vamc

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

104545 Issued in NY

Legal business name

JAMES J PETERS VAMC

Practice address

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Phone

(718) 584-9000

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. In Sook Song, M.D.NPI 1205089315

Title

Attending Physician

Phone

(718) 584-9000

Specialties & licenses 1

Addresses

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.

• In Sook Song, M.D.

  • Diagnostic Radiology Physician
  • Bronx, NY
  • NPI 1205089315
  Authorized official Same address or phone

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1528252749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHURCH ST.",
            "city": "ALPINE",
            "state": "NJ",
            "postal_code": "076200710",
            "telephone_number": "201-768-1136",
            "fax_number": "201-768-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J PETERS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "IN",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "718-584-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "104545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PJ Javellana Jamandre, PT, DPT
• Jocelyn M Jamelo, RN
• Masheena Militar Jamelo, MSN, AGPCNP
• James J Peters
• James J Peters VA Medical Center
• James J. Peter's, Bronx Veteran Medical Center
• James J. Peters VA Medical Center
• James Peters Veteran Medical Center
• Aaleyah Alexandria James, LCAT
• Alicia R. James, LMHC

• Neuroradiology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neuroradiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.