Organization Active NPI

Affinity Health Plan

  • Health Maintenance Organization
  • Bronx, NY
National Provider Identifier
1679859904
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
00477156 Issued in NY
Legal business name
AFFINITY HEALTH PLAN
Practice address
2500 Halsey St
Bronx, NY 10461-3637
Phone
(866) 247-5678
NPI assigned
Nov 1, 2011
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mrs. Maura Bluestone
Title
President and Chief Executive Offic
Phone
(866) 247-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 00477156 NY Primary

Addresses

Primary practice location

2500 Halsey St
Bronx, NY 10461-3637

Mailing address

2500 Halsey St
Bronx, NY 10461-3637
Phone (866) 247-5678

National Provider Directory

National Provider Directory

Locations

2500 Halsey St
Bronx, NY 10461
Phone (718) 794-0707

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1679859904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HALSEY ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613637",
            "telephone_number": "866-247-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HALSEY ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613637",
            "telephone_number": "866-247-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "BLUESTONE",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "866-247-5678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "00477156",
            "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 1, 2011; 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.