Active NPI
Ruben U. Carvajal MDPC
- Primary Care Clinic/Center
- Bronx, NY
National Provider Identifier
1841500469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 150807
- Legal business name
- RUBEN U. CARVAJAL MDPC
- Practice address
- 2271 Grand Ave
Bronx, NY 10468-6905 - Phone
- (718) 733-2621
- Fax
- (718) 733-3839
- NPI assigned
- Oct 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruben U. Carvajal, MD
- Title
- President
- Phone
- (718) 733-2621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 150807 | NY | Primary |
Addresses
Primary practice location
2271 Grand Ave
Bronx, NY 10468-6905
Mailing address
2271 Grand Ave
Bronx, NY 10468-6905
Phone (718) 733-2621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00812102 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2271 Grand Ave
Bronx, NY 10468
Phone (718) 733-2621
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1588764021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287187200000",
"number": "1841500469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2271 GRAND AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686905",
"telephone_number": "718-733-2621",
"fax_number": "718-733-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 GRAND AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104686905",
"telephone_number": "718-733-2621",
"fax_number": "718-733-3839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBEN U. CARVAJAL MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-16",
"last_updated": "2010-10-16",
"status": "A",
"authorized_official_last_name": "CARVAJAL",
"authorized_official_first_name": "RUBEN",
"authorized_official_middle_name": "U.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-733-2621",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "150807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00812102",
"state": "NY"
}
],
"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 Oct 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.