Organization Active NPI

New York Family Medicine Associates, P.C.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1902989312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
183545 Issued in NY
Legal business name
NEW YORK FAMILY MEDICINE ASSOCIATES, P.C.
Practice address
470 E Fordham Rd
Bronx, NY 10458-5108
Phone
(718) 960-3805
Fax
(718) 960-3806
NPI assigned
Oct 23, 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. Nelson EngNPI 1316941776
Title
President
Phone
(718) 896-0229

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 183545 NY Primary

Addresses

Primary practice location

470 E Fordham Rd
Bronx, NY 10458-5108

Mailing address

PO Box 2041
Bronx, NY 10461-0441
Phone (718) 960-6608

Other identifiers 1

IdentifierTypeStateIssuer
01922641MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902989312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610441",
            "telephone_number": "718-960-6608",
            "fax_number": "718-960-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585108",
            "telephone_number": "718-960-3805",
            "fax_number": "718-960-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK FAMILY MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-896-0229",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "183545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01922641",
            "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 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.