NPIMap

Organization Active NPI

Cargill Comprehensive Care Services

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1700439031
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARGILL COMPREHENSIVE CARE SERVICES
Practice address
1054 E 231St St
Bronx, NY 10466-4806
Phone
(914) 882-7192
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mrs. Keisha Ballentine-Cargill, DNP, FNP-BC, CRRNNPI 1003235284
Title
Doctoral Nurse Practitioner
Phone
(914) 882-7192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1054 E 231St St
Bronx, NY 10466-4806

Mailing address

1054 E 231St St
Bronx, NY 10466-4806
Phone (914) 882-7192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1700439031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664806",
            "telephone_number": "914-882-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664806",
            "telephone_number": "914-882-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARGILL COMPREHENSIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE-CARGILL",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "DOCTORAL NURSE PRACTITIONER",
        "authorized_official_telephone_number": "914-882-7192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, FNP-BC, CRRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 16, 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.