Organization Active NPI

Medalliance Medical Health Services

  • Multi-Specialty Clinic/Center
  • Bronx, NY
National Provider Identifier
1861723769
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEDALLIANCE MEDICAL HEALTH SERVICES
Practice address
518 E 149TH St
Bronx, NY 10455-2812
Phone
(718) 292-6110
Fax
(718) 292-6111
NPI assigned
Jan 18, 2010
Organization subpart
Yes
Parent organization
MEDALLIANCE MEDICAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Ms. Geraldine A Maraj, MBA
Title
Administrative Assistant
Phone
(718) 933-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

518 E 149TH St
Bronx, NY 10455-2812

Mailing address

518 E 149TH St
Bronx, NY 10455-2812
Phone (718) 292-6110

National Provider Directory

National Provider Directory
Tax ID family
Medalliance Med Health Serv4 organizations share this tax ID, including this one
Part of
Medalliance Med Health Serv

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

518 E 149th St
Bronx, NY 10455
Phone (518) 240-5500

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1861723769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552812",
            "telephone_number": "718-292-6110",
            "fax_number": "718-292-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104552812",
            "telephone_number": "718-292-6110",
            "fax_number": "718-292-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "MARAJ",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "718-933-1900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Jan 18, 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.

Verify at the official NPI Registry.