NPIMap

Organization Active NPI

Bronx Internal Medicine

  • Special Hospital
  • Bronx, NY
National Provider Identifier
1669679478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
210261 Issued in NY
Legal business name
BRONX INTERNAL MEDICINE
Practice address
183Rd St at 3Rd Ave
St Barnabas Hosiptal 7 FL
Bronx, NY 10457
Phone
(718) 960-6205
Fax
(718) 960-3218
NPI assigned
Jun 27, 2007
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
Miss Ivy Persaud, DO
Title
Office Manager
Phone
(718) 562-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 210261 NY Primary

Addresses

Primary practice location

183Rd St at 3Rd Ave
St Barnabas Hosiptal 7 FL
Bronx, NY 10457

Mailing address

2385 Arthur Ave
Bronx, NY 10458-8184
Phone (718) 562-2481

National Provider Directory

National Provider Directory
Tax ID family
Arthur Avenue Comprehensive Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669679478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "718-562-2481",
            "fax_number": "718-562-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183RD ST AT 3RD AVE",
            "address_2": "ST BARNABAS HOSIPTAL 7 FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-960-6205",
            "fax_number": "718-960-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-562-2481",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NY",
            "license": "210261",
            "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 Aug 22, 2020; 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.