Active NPI
Our Lady of Mercy Medical Center
- General Acute Care Hospital
- Bronx, NY
National Provider Identifier
1689893133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- F301189
- Legal business name
- OUR LADY OF MERCY MEDICAL CENTER
- Practice address
- 600 East 233Rd St.
Diabetes Clinic Mercy Community Care
Bronx, NY 10466 - Phone
- (347) 341-4373
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Halk-Domitrovits, MSN-ANP
- Title
- Adult Nurse Practitioner
- Phone
- (347) 341-4373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | F301189 | NY | Primary |
Addresses
Primary practice location
600 East 233Rd St.
Diabetes Clinic Mercy Community Care
Bronx, NY 10466
Mailing address
2 West Lawrence PK Dr
Unit 6
Piermont, NY 10968
Phone (914) 572-3491
Other names 1
- Mercy Community care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1689893133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WEST LAWRENCE PK DR",
"address_2": "UNIT 6",
"city": "PIERMONT",
"state": "NY",
"postal_code": "10968",
"telephone_number": "914-572-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST 233RD ST.",
"address_2": "DIABETES CLINIC MERCY COMMUNITY CARE",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "347-341-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF MERCY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "HALK-DOMITROVITS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
"authorized_official_telephone_number": "347-341-4373",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN-ANP"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "F301189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Community care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bronx, NY
- Our Lady of Mercy Ambulatory Care Center, Inc.
- Our Lady of Mercy Medical Center
- Our Lady of Mercy Medical Center
- Our Lady of Mercy Medical Center
- Our Lady of Mercy Medical Center
- Our Lady of Mercy Medical Center
- Our Lady of Mercy Medical Center Outpatient Psychiatric Programs
- Our Lady of Mercy MHC
- Aicha Ourti
- Annamma Ouseph
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.