Organization Active NPI

Hospital

  • General Acute Care Hospital
  • Bronx, NY
National Provider Identifier
1730559477
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
043215 Issued in NY
Legal business name
HOSPITAL
Practice address
2466 Arthur Ave
Bronx, NY 10458-6004
Phone
(718) 329-1000
NPI assigned
Oct 6, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Dr. Justine Paula Ippolito-Fata, D.D.S.NPI 1902980691
Title
Dentist
Phone
(718) 329-1000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 043215 NY Primary
General Practice Dentistry 1223G0001X 043215 NY

Addresses

Primary practice location

2466 Arthur Ave
Bronx, NY 10458-6004

Mailing address

2466 Arthur Ave
Bronx, NY 10458-6004
Phone (718) 329-1000

Other identifiers 2

IdentifierTypeStateIssuer
043215OtherNYNEW YORK STATE EDUCATION DEPARTMENT LICENSE NUMBER
02259254MedicaidNY

National Provider Directory

National Provider Directory

Locations

2466 Arthur Ave
Bronx, NY 10458
Phone (718) 329-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1730559477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586004",
            "telephone_number": "718-329-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586004",
            "telephone_number": "718-329-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO-FATA",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-329-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "043215",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT LICENSE NUMBER",
            "identifier": "043215",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02259254",
            "state": "NY"
        }
    ],
    "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 Oct 28, 2015; 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.