Fordham University Health Service

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

331345 Issued in NY

Legal business name

FORDHAM UNIVERSITY HEALTH SERVICE

Practice address

441 E Fordham Rd
Bronx, NY 10458-5149

Phone

(718) 817-4160

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Malara, FNP

Title

Director

Phone

(718) 817-4160

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1700023637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585149",
            "telephone_number": "718-817-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585149",
            "telephone_number": "718-817-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDHAM UNIVERSITY HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "MALARA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-817-4160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "331345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fordham Tremont CMHC
• Fordham Tremont CMHC
• Fordham Tremont Community Mental Health Center
• Fordham Tremont Community Mental Health Center
• Fordham Tremont Communiyt Mental Health Center
• Fordham Vision Center Ny LLC
• Fordham-Tremont
• Jessalyn Nicole Forella, DDS
• Heather Lynn Foreman, LMSW
• Soraya Forero, PTA

• Health Service Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.