Organization Active NPI

Comprehensive Medical World P.C

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1669519021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225691 Issued in NY
Legal business name
COMPREHENSIVE MEDICAL WORLD P.C
Practice address
2665 Grand Concourse
Bronx, NY 10468-3744
Phone
(718) 365-3488
Fax
(718) 508-0001
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tamara S Pinkhasova, MDNPI 1306888490
Title
Presedent, MD
Phone
(718) 365-3488

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 Physician 207R00000X 225691 NY Primary

Addresses

Primary practice location

2665 Grand Concourse
Bronx, NY 10468-3744

Mailing address

2665 Grand Concourse
Bronx, NY 10468-3744
Phone (718) 365-3488

Other identifiers 1

IdentifierTypeStateIssuer
02368165MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000061 NY Part B Supplier - Clinic/Group Practice 0648160978 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

2665 Grand Concourse
Bronx, NY 10468
Phone (718) 275-4100

Practitioners & affiliated clinicians

Practitioners 1

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669519021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683744",
            "telephone_number": "718-365-3488",
            "fax_number": "718-508-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683744",
            "telephone_number": "718-365-3488",
            "fax_number": "718-508-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL WORLD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINKHASOVA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESEDENT, MD",
        "authorized_official_telephone_number": "17183653488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02368165",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.