Organization Active NPI

Van Cortlandt Medical Office

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1740115971
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VAN CORTLANDT MEDICAL OFFICE
Practice address
3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263
Phone
(718) 513-3536
Fax
(347) 591-0201
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Baah AsanteNPI 1396746087
Title
MD
Phone
(718) 513-3536

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263

Mailing address

3130 Grand Concourse Ste 1K
Bronx, NY 10458-1263
Phone (718) 513-3536

National Provider Directory

National Provider Directory

Locations

3130 Grand Concourse
Ste 1K
Bronx, NY 10458
Phone (718) 365-7255

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": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1740115971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE STE 1K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581263",
            "telephone_number": "718-513-3536",
            "fax_number": "347-591-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE STE 1K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581263",
            "telephone_number": "718-513-3536",
            "fax_number": "347-591-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN CORTLANDT MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ASANTE",
        "authorized_official_first_name": "BAAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-513-3536"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 17, 2026; 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.