NPIMap

Organization Active NPI

First Avenue Medical P C

  • Behavior Analyst
  • Bronx, NY
National Provider Identifier
1588844617
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FIRST AVENUE MEDICAL P C
Practice address
486 E Tremont Ave
Bronx, NY 10457-4437
Phone
(646) 393-5146
Fax
(646) 393-5150
NPI assigned
Nov 6, 2007
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Jose R Sanchez Pena, MDNPI 1316911282
Title
President
Phone
(201) 533-0972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

486 E Tremont Ave
Bronx, NY 10457-4437

Mailing address

550 Newark Ave Ste 401
Jersey City, NJ 07306-1354
Phone (862) 222-0566

National Provider Directory

National Provider Directory

Locations

680 Broadway
Ste 2D
Paterson, NJ 07514
Phone (201) 646-0333

Practitioners & affiliated clinicians

Practitioners 7

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1588844617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 401",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061354",
            "telephone_number": "862-222-0566",
            "fax_number": "201-533-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574437",
            "telephone_number": "646-393-5146",
            "fax_number": "646-393-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AVENUE MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-533-0972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 May 14, 2024; 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.