Bridgespan Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRIDGESPAN MEDICINE

Practice address

222 Westchester Avenue
Suite 201
White Plains, NY 10604

Phone

(914) 698-5544

Fax

(914) 698-4847

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Gloria Patricia Avvocato, MD

Title

Owner

Phone

(914) 698-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1689225971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVENUE",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-698-5544",
            "fax_number": "914-698-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVENUE",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10604",
            "telephone_number": "914-698-5544",
            "fax_number": "914-698-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGESPAN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "AVVOCATO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-698-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Roberto Brezler, MD
• Briaunasaaa Medical Services
• Chad S Brice, PH.D.
• Marie Edmise Brice, LPN
• Jane E Bridges
• Bright Minds Learning, LLC
• Dawn Marie Brill, RN
• Nooshin Ketabchi Brinster, MD
• Aideen Ky Briones, DNP FNP-C RN-BC
• Maria D Briones, M.D.

• Pediatrics Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.