Active NPI
Medical Care of Ny PC
- General Practice Physician
- Bronx, NY
National Provider Identifier
1639822869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL CARE OF NY PC
- Practice address
- 651 River Ave Ste 105
Bronx, NY 10451-2113 - Phone
- (786) 360-4768
- NPI assigned
- Jan 28, 2022
- Organization subpart
- Yes
- Parent organization
- MEDICAL CARE OF NY PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Niberto Angel Moreno
- Title
- Owner
- Phone
- (786) 360-4768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
651 River Ave Ste 105
Bronx, NY 10451-2113
Mailing address
651 River Ave Ste 105
Bronx, NY 10451-2113
Phone (786) 360-4768
National Provider Directory
National Provider Directory- Part of
- Medical Care of Ny PC
Locations
651 River Ave
Ste 105
Bronx, NY 10451
Phone (718) 874-9793
651 River Ave
Bronx, NY 10451
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Physician
- New York, NY
- NPI 1477217941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1639822869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 RIVER AVE STE 105",
"city": "BRONX",
"state": "NY",
"postal_code": "104512113",
"telephone_number": "786-360-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 RIVER AVE STE 105",
"city": "BRONX",
"state": "NY",
"postal_code": "104512113",
"telephone_number": "786-360-4768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CARE OF NY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL CARE OF NY PC",
"enumeration_date": "2022-01-28",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "NIBERTO",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-360-4768"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"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 Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.