Active NPI
Bang Awareness Alcohol Prevention
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1770529026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- I069
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02799640 | Medicaid | NM |
Other names 1
- McConneghey Bang & Corp Inc
National Provider Directory
National Provider DirectoryNPI 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.