Bronx Medical Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187770 Issued in NY

Legal business name

BRONX MEDICAL ASSOCIATES PLLC

Practice address

65-11 Booth Street
Suite 1C
Rego Park, NY 11374-4184

Phone

(718) 806-1434

Fax

(718) 806-1435

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Marvin J Base, M.D.

Title

President

Phone

(718) 806-1434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1689096646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-11 BOOTH STREET",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-11 BOOTH STREET",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BASE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allia Brickman, LMHC
• Bridge Transportation Services, Inc.
• Bright Start Development LLC
• Brilliant Vision Corp.
• Brinks Home Care LLC
• Jennifer A Broomes
• Caitlin Jennifer Brown, LCSW
• Charmaine Eileen Brown, LCSW
• Laquana Melissa Brown, NP
• Miriam Lois Brunnwasser, SPECIAL EDUCATOR

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.