Organization Active NPI

Jacobi-Health and Hospital Corporation

  • Primary Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1790093508
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
487360-1 Issued in NY
Legal business name
JACOBI-HEALTH AND HOSPITAL CORPORATION
Practice address
1012 E Gun Hill Rd
Bronx, NY 10469-3720
Phone
(718) 918-8850
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Nicole Roberts
Title
Staff Nurse
Phone
(718) 918-8892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 487360-1 NY Primary

Addresses

Primary practice location

1012 E Gun Hill Rd
Bronx, NY 10469-3720

Mailing address

3023 Bronxwood Ave
Bronx, NY 10469-3603
Phone (718) 515-2011

Other names 1

  • Health Center at Gunhill Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1790093508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 BRONXWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693603",
            "telephone_number": "718-515-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693720",
            "telephone_number": "718-918-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBI-HEALTH AND HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "718-918-8892"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "487360-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center at Gunhill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2010; 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.