Organization Active NPI

Parkway Medical & Rehabilitation, PC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Bronx, NY
National Provider Identifier
1801013552
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
212537 Issued in NY
Legal business name
PARKWAY MEDICAL & REHABILITATION, PC
Practice address
729 Pelham Pkwy N
Bronx, NY 10467-9506
Phone
(718) 944-6262
Fax
(718) 944-6266
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. Imelda Mangahas Cruz-Banting, MDNPI 1760458137
Title
Owner
Phone
(718) 944-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X 212537 NY Primary

Addresses

Primary practice location

729 Pelham Pkwy N
Bronx, NY 10467-9506

Mailing address

729 Pelham Pkwy N
Bronx, NY 10467-9506
Phone (718) 944-6262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1801013552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679506",
            "telephone_number": "718-944-6262",
            "fax_number": "718-944-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PELHAM PKWY N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679506",
            "telephone_number": "718-944-6262",
            "fax_number": "718-944-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL & REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "CRUZ-BANTING",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "MANGAHAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-944-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "212537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 23, 2009; 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.