Active NPI
SBH Physicians, PC
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1922313196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SBH PHYSICIANS, PC
- Practice address
- 4422 Third Avenue
Braker Building
Bronx, NY 10457 - Phone
- (718) 960-9000
- NPI assigned
- Aug 12, 2010
- 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
- Mrs. Mary Grochowski
- Title
- Sr. VP / Cfo
- Phone
- (718) 960-6250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4422 Third Avenue
Braker Building
Bronx, NY 10457
Mailing address
4422 Third Avenue
Braker Building
Bronx, NY 10457
Other names 1
- FAMILY MEDICINE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110420000217 | NY | Part B Supplier - Clinic/Group Practice | 3072798941 |
Receives reassigned benefits from 285 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New York, NY; White Plains, NY; Bronx, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1922313196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 THIRD AVENUE",
"address_2": "BRAKER BUILDING",
"city": "BRONX",
"state": "NY",
"postal_code": "10457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 THIRD AVENUE",
"address_2": "BRAKER BUILDING",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-960-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBH PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "GROCHOWSKI",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "SR. VP / CFO",
"authorized_official_telephone_number": "718-960-6250",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY MEDICINE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "FAMILY MEDICINE",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.