Individual provider Active NPI

Paul Michael Bisson, M.D

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1649484163
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208838 Issued in NY
Practice address
3713 E Tremont Ave
Bronx, NY 10465-2019
Phone
(718) 822-4262
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208838 NY Primary

Addresses

Primary practice location

3713 E Tremont Ave
Bronx, NY 10465-2019

Mailing address

2943 Bruckner Blvd
Bronx, NY 10461-5625
Phone (718) 822-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000494 NY Practitioner - Internal Medicine 9830367184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Throggs NeckGroup PAC ID 4688842925, 2 clinicians

Practice addresses (Care Compare)

2943 Bruckner Blvd
Bronx, NY 10461-5625
Phone (718) 822-4262

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Archcare at Providence Rest Nursing home, Bronx, NY, CCN 335583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Throggs Neck Internal Medicine CurrentSince May 19, 2011 Accepting new patients
Multi-Specialty Pain Management, PC Past Accepting new patients
Providence Rest Past Accepting new patients

Locations

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

2943 Bruckner Blvd
Bronx, NY 10461
Phone (718) 597-0100

3713 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-4878

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1649484163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615625",
            "telephone_number": "718-822-4262",
            "fax_number": "718-824-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652019",
            "telephone_number": "718-822-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.