Organization Active NPI

Medical Care of Ny PC

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1639822869
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.