Organization Active NPI

Bang Awareness Alcohol Prevention

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1770529026
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
I069 Issued in NY
Legal business name
BANG AWARENESS ALCOHOL PREVENTION
Practice address
1075 University Ave
Stadium Station 524525
Bronx, NY 10452
Phone
(347) 220-7578
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Prof. Maritza McConneghey, HHS LPN
Title
Chief Exec Officer
Phone
(917) 239-5729

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X I069 NY Primary
Community Health Clinic/Center 261QC1500X 5292 NY

Addresses

Primary practice location

1075 University Ave
Stadium Station 524525
Bronx, NY 10452

Mailing address

1138 E 229TH St Drive South Ave
6G
Bronx, NY 10466
Phone (917) 239-5729

Other identifiers 1

IdentifierTypeStateIssuer
02799640MedicaidNM

Other names 1

  • McConneghey Bang & Corp Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770529026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 E 229TH ST DRIVE SOUTH AVE",
            "address_2": "6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "917-239-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 UNIVERSITY AVE",
            "address_2": "STADIUM STATION 524525",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "347-220-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANG AWARENESS ALCOHOL PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCONNEGHEY",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "CHIEF EXEC OFFICER",
        "authorized_official_telephone_number": "917-239-5729",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "HHS LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "I069",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "5292",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02799640",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McConneghey Bang & Corp Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 11, 2025; 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.