NPIMap

Organization Active NPI

Montefiore

  • Student Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1831457894
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
MONTEFIORE
Practice address
111 East 210TH Street
Montefiore Medical Center Department of Dentistry
Bronx, NY 10467-9998
Phone
(718) 920-6039
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Nadine Newsome, DMD
Title
Dental Residence Director
Phone
(718) 920-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

111 East 210TH Street
Montefiore Medical Center Department of Dentistry
Bronx, NY 10467-9998

Mailing address

839 Calle Anasco Apt 424
Plaza Universidad 2000
San Juan, PR 00925-2453
Phone (787) 460-7877

Other names 1

  • Albert Einstein College of Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
MMC Rehab Medicine520 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1831457894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 424",
            "address_2": "PLAZA UNIVERSIDAD 2000",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252453",
            "telephone_number": "787-460-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 210TH STREET",
            "address_2": "MONTEFIORE MEDICAL CENTER DEPARTMENT OF DENTISTRY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679998",
            "telephone_number": "718-920-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "DENTAL RESIDENCE DIRECTOR",
        "authorized_official_telephone_number": "718-920-6039",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albert Einstein College of Medicine",
            "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 Apr 27, 2012; 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.