Bethel Medical Practice P.C

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

Organization subpart

No

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

Authorized official

Name

Dr. Domingo Anthonio Santana, M.D

Title

M.D

Phone

(718) 676-4177

Specialties & licenses 1

Addresses

Interoperability endpoints

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

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": []
}

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• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• 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.