Riverdale Family Medical Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERDALE FAMILY MEDICAL PRACTICE

Practice address

3050 Corlear Ave
Suite 201
Bronx, NY 10463-3815

Phone

(718) 543-2700

Fax

(718) 601-0965

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frank J Maselli, M.D.

Title

Medical Director

Phone

(718) 543-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RIVERDALE FAMILY PRACTICE Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1912059239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635180",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE",
            "address_2": "SUITE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633815",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE FAMILY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "MASELLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-543-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/GROUP#",
            "identifier": "WWQ371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERDALE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.