Obm Medical Management Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

OBM MEDICAL MANAGEMENT INC

Practice address

3485 E Tremont Ave
Bronx, NY 10465-2016

Phone

(718) 828-1549

Fax

(718) 828-5029

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Chana Mirsky

Title

Ceo

Phone

(718) 614-2384

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1801246582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092650",
            "telephone_number": "718-317-2300",
            "fax_number": "718-356-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652016",
            "telephone_number": "718-828-1549",
            "fax_number": "718-828-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 Lydig Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104622144",
            "country_code": "US",
            "telephone_number": "718-317-2300",
            "fax_number": "718-356-4130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Greenpoint Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "NY",
            "postal_code": "111041784",
            "country_code": "US",
            "telephone_number": "718-317-2300",
            "fax_number": "718-356-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBM MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MIRSKY",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-614-2384"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Obioha
• Ebele Obiora
• Esther Obiri-Boateng, RN
• Thomas Obisesan Jr., MD
• Cindy Oblenida Pangilinan, AGNP-C
• Peter Oboshenure
• Kayla Obradovic
• Milos Obradovic, M.D.
• Aidan Francis Obrien, MD
• Elizabeth M. Ocampo

• Health Maintenance Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.