Active NPI
Wakefield Medical Professionals, P.C.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1558579201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 237144
- Legal business name
- WAKEFIELD MEDICAL PROFESSIONALS, P.C.
- Practice address
- 711 Nereid Ave
Bronx, NY 10466-1201 - Phone
- (718) 994-6755
- Fax
- (718) 994-3032
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodolfo Comuyog Uy, M.D.
- Title
- President
- Phone
- (718) 994-6755
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 236741 | NY | |
| Internal Medicine Physician | 207R00000X | 202436 | NY | |
| Internal Medicine Physician | 207R00000X | 237144 | NY | Primary |
| Pediatrics Physician | 208000000X | 166745 | NY | |
| Pediatrics Physician | 208000000X | 170475 | NY | |
| Pediatrics Physician | 208000000X | 218147 | NY | |
| Pediatrics Physician | 208000000X | 169367 | NY |
Addresses
Primary practice location
711 Nereid Ave
Bronx, NY 10466-1201
Mailing address
711 Nereid Ave
Bronx, NY 10466-1201
Phone (718) 994-6755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00968790 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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": "1757548800000",
"number": "1558579201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 NEREID AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661201",
"telephone_number": "718-994-6755",
"fax_number": "718-994-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 NEREID AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661201",
"telephone_number": "718-994-6755",
"fax_number": "718-994-3032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKEFIELD MEDICAL PROFESSIONALS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "UY",
"authorized_official_first_name": "RODOLFO",
"authorized_official_middle_name": "COMUYOG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-994-6755",
"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": "236741",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "202436",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "237144",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "166745",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "170475",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "218147",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "169367",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968790",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.