Active NPI
Jacobi-Health and Hospital Corporation
- Primary Care Clinic/Center
- Bronx, NY
National Provider Identifier
1790093508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 487360-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.