Organization Active NPI

Bronx Medical Care PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1609920255
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225265 Issued in NY
Legal business name
BRONX MEDICAL CARE PC
Practice address
515 Audubon Ave
New York, NY 10040-3403
Phone
(914) 965-2101
Fax
(914) 965-2102
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Kumud Jindal, MDNPI 1871530873
Title
President
Phone
(917) 365-7082

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 225265 NY Primary

Addresses

Primary practice location

515 Audubon Ave
New York, NY 10040-3403

Mailing address

6 Hillview CT
Armonk, NY 10504-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000230 NY Part B Supplier - Clinic/Group Practice 5597729855 Receives reassigned benefits from 1 practitioner
Practice locations: Armonk, NY; Nyack, NY

National Provider Directory

National Provider Directory

Locations

984 N Broadway
Ste 405
Yonkers, NY 10701
Phone (914) 909-4522

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1609920255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HILLVIEW CT",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041135",
            "fax_number": "914-965-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "914-965-2101",
            "fax_number": "914-965-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "KUMUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-365-7082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.