Active NPI
Jerome Ernst, MD
- Pulmonary Disease Physician
- Bronx, NY
National Provider Identifier
1902845779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 115081
- Practice address
- 1770 Grand Concourse
1650 Grand Concourse
Bronx, NY 10457-5524 - Phone
- (718) 518-5581
- Fax
- (718) 299-1877
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 115081 | NY | Primary |
Addresses
Primary practice location
1770 Grand Concourse
1650 Grand Concourse
Bronx, NY 10457-5524
Mailing address
PO Box 1786
Bronx, NY 10451-1786
Phone (718) 901-8154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00211321 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115081 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Ernst, Sy and Menon | Past | Accepting new patients |
Locations
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1669729117
-
- Specialist
- Bronx, NY
- NPI 1144260910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1902845779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1786",
"city": "BRONX",
"state": "NY",
"postal_code": "104511786",
"telephone_number": "718-901-8154",
"fax_number": "718-901-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"address_2": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-518-5581",
"fax_number": "718-299-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "JEROME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "115081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00211321",
"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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.