NPIMap

Organization Active NPI

Bethel Medical Practice P.C

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1710156211
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
239271 Issued in NY
Legal business name
BETHEL MEDICAL PRACTICE P.C
Practice address
2869 Grand Concorse
Suite # 1
Bronx, NY 10468
Phone
(718) 676-4177
Fax
(718) 676-4179
NPI assigned
Feb 28, 2008
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Domingo Anthonio Santana, M.DNPI 1952348724
Title
M.D
Phone
(718) 676-4177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 239271 NY Primary

Addresses

Primary practice location

2869 Grand Concorse
Suite # 1
Bronx, NY 10468

Mailing address

2160 Anthony Ave
Apt # 4F
Bronx, NY 10457
Phone (646) 463-7552

National Provider Directory

National Provider Directory

Locations

2869 Grand Concourse
Ste 1
Bronx, NY 10468
Phone (718) 676-4177

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHEAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1710156211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 ANTHONY AVE",
            "address_2": "APT # 4F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "646-463-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 GRAND CONCORSE",
            "address_2": "SUITE # 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "718-676-4177",
            "fax_number": "718-676-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL MEDICAL PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_middle_name": "ANTHONIO",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "718-676-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "239271",
            "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 May 4, 2012; 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.