NPIMap

Organization Active NPI

Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
National Provider Identifier
1801428222
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
BRONXCARE HEALTH SYSTEM
Practice address
1276 Fulton Ave
Bronx, NY 10456-3402
Phone
(718) 992-7669
NPI assigned
Feb 5, 2020
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Victor George Demarco
Title
SVP Cfo
Phone
(718) 901-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1276 Fulton Ave
Bronx, NY 10456-3402

Mailing address

1276 Fulton Ave RM 219
Bronx, NY 10456-3402
Phone (718) 901-8988

Other names 1

  • Bronxcare Health System Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Opioid treatment program
Medicare-enrolled since Mar 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610002192 NY Part B Supplier - Opioid Treatment Program (Otp) 3870404429 Practice locations: Bronx, NY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
BLHC OB GYN Group28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1170 Webster Ave
Bronx, NY 10456
Phone (718) 901-8249

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

1276 Fulton Ave
Fl 1
Bronx, NY 10456

1276 Fulton Ave
Fl 4
Bronx, NY 10456
Phone (718) 901-8244

1276 Fulton Ave
Fl 8
Bronx, NY 10456
Phone (718) 901-6492

1645 Grand Ave
Fl 1
Bronx, NY 10453

1645 Grand Concourse
Fl 1
Bronx, NY 10452

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

1650 Grand Concourse
Fl 17
Bronx, NY 10457
Phone (718) 518-5557

1650 Selwyn Ave
#1
Bronx, NY 10457
Phone (718) 579-3940

1650 Selwyn Ave
#11
Bronx, NY 10457
Phone (718) 960-1334

1650 Selwyn Ave
#5
Bronx, NY 10457
Phone (718) 960-2084

1650 Selwyn Ave
Fl 11
Bronx, NY 10457
Phone (718) 960-1021

1650 Selwyn Ave
Fl 5
Bronx, NY 10457
Phone (718) 922-7669

1650 Selwyn Ave
Fl 7
Bronx, NY 10457
Phone (718) 753-7479

1650 Selwyn Ave
Frnt 1
Bronx, NY 10457

2604 3rd Ave
Fl 5
Bronx, NY 10454
Phone (718) 838-1016

401 E 167th St
#2
Bronx, NY 10456

406 E 176th St
Bronx, NY 10457
Phone (718) 901-6831

406 E 176th St
Fl 1
Bronx, NY 10457

625 E Fordham Rd
Fl 1
Bronx, NY 10458
Phone (718) 475-6912

882 Hunts Point Ave
#866
Bronx, NY 10474

882 Hunts Point Ave
#886
Bronx, NY 10474

930 E Tremont Ave
Frnt 1
Bronx, NY 10460
Phone (718) 860-1111

Practitioners & affiliated clinicians

Practitioners 791

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 791

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1801428222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE RM 219",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-901-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "718-992-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXCARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "SVP CFO",
        "authorized_official_telephone_number": "718-901-8600"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronxcare Health System",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bronxcare Health System",
            "code": "5",
            "type": "Other 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 Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.