Active NPI
Lincon Medical and Mental Center
- Critical Access Hospital
- Bronx, NY
National Provider Identifier
1902979651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 119113
- 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, 2020
- 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. Ayodeji Bodunrin Fayemi, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
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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.