Organization Active NPI

Sound Health Medical PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1831416247
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219197 Issued in NY
Legal business name
SOUND HEALTH MEDICAL PC
Practice address
3108 3Rd Avenue
Bronx, NY 10451-4606
Phone
(646) 500-4413
Fax
(718) 292-9455
NPI assigned
Apr 24, 2010
Last updated
Mar 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Adenike Aderonke Adeyemo, MDNPI 1023198801
Title
Owner
Phone
(917) 826-0661

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
Internal Medicine Physician 207R00000X 219197 NY Primary

Addresses

Primary practice location

3108 3Rd Avenue
Bronx, NY 10451-4606

Mailing address

3108 3Rd Avenue
Bronx, NY 10451-4606
Phone (646) 500-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000237 NY Part B Supplier - Clinic/Group Practice 3173656626 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

3108 3rd Ave
Bronx, NY 10451
Phone (646) 500-4413

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1831416247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 3RD AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514606",
            "telephone_number": "646-500-4413",
            "fax_number": "718-292-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 3RD AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514606",
            "telephone_number": "646-500-4413",
            "fax_number": "718-292-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-24",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "ADERONKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-826-0661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219197",
            "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 2, 2018; 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.