Organization Active NPI

Lincon Medical and Mental Center

  • Critical Access Hospital
  • Bronx, NY
National Provider Identifier
1902979651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
119113 Issued in NY
Legal business name
LINCON MEDICAL AND MENTAL CENTER
Practice address
234 E 149TH St
Lincoln Medical and Mental Health Center
Bronx, NY 10451-5504
Phone
(718) 579-5579
Fax
(718) 579-4649
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ayodeji Bodunrin Fayemi, M.D.NPI 1295974905
Title
Attending
Phone
(718) 579-5579

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 119113 NY Primary

Addresses

Primary practice location

234 E 149TH St
Lincoln Medical and Mental Health Center
Bronx, NY 10451-5504

Mailing address

15 Francine CT
White Plains, NY 10607-1201
Phone (914) 761-0362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 298

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.

View all 298

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902979651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FRANCINE CT",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071201",
            "telephone_number": "914-761-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "address_2": "LINCOLN MEDICAL AND MENTAL HEALTH CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5579",
            "fax_number": "718-579-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCON MEDICAL AND MENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAYEMI",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_middle_name": "BODUNRIN",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "718-579-5579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "119113",
            "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 Aug 22, 2020; 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.