Bronx Doctor Office P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRONX DOCTOR OFFICE P.C.

Practice address

1757 University Avenue
Bronx, NY 10453

Phone

(718) 960-4311

Fax

(347) 657-3341

NPI assigned

Oct 15, 2014

Last updated

Apr 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Elizabeth SchoenweissNPI 1205281060

Title

Clinical Director

Phone

(917) 734-5714

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Stacey Elizabeth Schoenweiss, RN

  • Registered Nurse
  • Massapequa Park, NY
  • NPI 1205281060
  Authorized official Same address or phone
• Alfonso Manuel Azucar, PA

  • Physician Assistant
  • Valley Stream, NY
  • NPI 1013257864
  NPD (past)

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1952705220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "718-960-4311",
            "fax_number": "347-657-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 UNIVERSITY AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10453",
            "telephone_number": "718-960-4311",
            "fax_number": "347-657-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX DOCTOR OFFICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHOENWEISS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "917-734-5714"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04025430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bronx Dental Center Inc
• Bronx Dental,P.C.
• Bronx Dermatology (Fordham Dermatology)
• Bronx Diagnostic Radiology P.C.
• Bronx Digestive and Liver Disease PC
• Bronx Drugs 2 Inc (Bronx Drugs)
• Bronx Drugs Inc
• Bronx Drugs RX Inc.
• Bronx Ear Nose & Throat Associate PC
• Bronx Endoscopy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.