Bronx Metro Healthcare Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

163002 Issued in NY

Legal business name

BRONX METRO HEALTHCARE MEDICAL PC

Practice address

432 E 149TH St
Bronx, NY 10455-1343

Phone

(718) 618-7522

Fax

(718) 618-7566

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Khasidy, MD

Title

Director

Phone

(718) 618-7522

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1942520358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "718-618-7522",
            "fax_number": "718-618-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "718-618-7522",
            "fax_number": "718-618-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX METRO HEALTHCARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "KHASIDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-618-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163002",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Medical Practice P.C.
• Bronx Medical Practice P.C.
• Bronx Medical Services 21 P.C.
• Bronx Medical Services PLLC
• Bronx Medical-Cardiac, PLLC
• Bronx Modern Medical. PC
• Bronx Nephrology Hypertension PC
• Bronx Ophthalmologic PC.
• Bronx Ophthalmologic, PC
• Bronx Ophthalmology PC.

• 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 Jun 8, 2010; 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.