Pelham Medical Associates, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PELHAM MEDICAL ASSOCIATES, PC

Practice address

2932 Wilkinson Ave
Bronx, NY 10461-4004

Phone

(718) 904-0908

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Leila Wilson

Title

Billing Manager

Phone

(917) 612-7485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1851965628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 WILKINSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614004",
            "telephone_number": "718-904-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 WILKINSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614004",
            "telephone_number": "718-904-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "917-612-7485"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.