Active NPI
Harlem Medical Group, PC
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1851650550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 169377
- Legal business name
- HARLEM MEDICAL GROUP, PC
- Practice address
- 3455 Boston Rd
Bronx, NY 10469-2508 - Phone
- (718) 798-2236
- Fax
- (718) 798-0561
- NPI assigned
- May 15, 2012
- 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
- Dr. Hemant Patel, M.D.
- Title
- President
- Phone
- (718) 364-3200
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 257711 | NY | |
| Internal Medicine Physician | 207R00000X | 169377 | NY | Primary |
| Gynecology Physician | 207VG0400X | 155078 | NY |
Addresses
Primary practice location
3455 Boston Rd
Bronx, NY 10469-2508
Mailing address
2255-2257 Adam Clayton Powell Blvd
New York, NY 10027-7807
Phone (718) 364-3200
Other practice location 1
392 Bedford Park Blvd
Bronx, NY 10458-2415
Phone (718) 364-3200 ext. 801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100069658 | Other | NY | MEDICARE |
| 03464362 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0137167 | Harlem Medical Group PC | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
126 Nagle Ave
New York, NY 10040
Phone (212) 304-0001
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Family Nurse Practitioner
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- NPI 1992459531
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- Family Medicine Physician
- New York, NY
- NPI 1417149030
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- Internal Medicine Physician
- New York, NY
- NPI 1891058681
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1356401848
-
- Internal Medicine Physician
- New York, NY
- NPI 1689291668
-
- Medical Physician Assistant
- New York, NY
- NPI 1609646777
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1639128366
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1356428403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1851650550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255-2257 ADAM CLAYTON POWELL BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100277807",
"telephone_number": "718-364-3200",
"fax_number": "212-410-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 BOSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104692508",
"telephone_number": "718-798-2236",
"fax_number": "718-798-0561"
}
],
"practiceLocations": [
{
"address_1": "392 Bedford Park Blvd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104582415",
"country_code": "US",
"telephone_number": "718-364-3200 x801",
"fax_number": "212-410-4424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HARLEM MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HEMANT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-364-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "257711",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "169377",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "155078",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A100069658",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03464362",
"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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.