Organization Active NPI

Aa Comprehensive Medical Care PC

  • Pain Clinic/Center
  • Bronx, NY
National Provider Identifier
1730921917
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
AA COMPREHENSIVE MEDICAL CARE PC
Practice address
3250 Westchester Ave
Bronx, NY 10461-4500
Phone
(718) 801-3002
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Dr. Abdalla Adam, MD
Title
Owner
Phone
(718) 207-4383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3250 Westchester Ave
Bronx, NY 10461-4500

Mailing address

20 Marble Loop Ste 2
Staten Island, NY 10309-1353
Phone (718) 801-3002

National Provider Directory

National Provider Directory

Locations

20 Marble Loop
Ste 2
Staten Island, NY 10309

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1730921917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARBLE LOOP STE 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091353",
            "telephone_number": "718-801-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614500",
            "telephone_number": "718-801-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA COMPREHENSIVE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-207-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "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 Jun 10, 2024; 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.