University Medical Office, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

250412 Issued in NY

Legal business name

UNIVERSITY MEDICAL OFFICE, PLLC

Practice address

2270 University Ave
Ste. 1a
Bronx, NY 10468-6265

Phone

(646) 393-9079

Fax

(646) 393-9081

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Christian Arturo Belliard Estevez, M.D.

Title

President

Phone

(646) 393-9079

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

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

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1740422203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "STE. 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "STE. 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "BELLIARD ESTEVEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-393-9079",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181919",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "250412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA08476500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03128530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.