Organization Active NPI

Maria a Branca, DPM, PC

  • Podiatrist
  • Yonkers, NY
National Provider Identifier
1962629311
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MARIA A BRANCA, DPM, PC
Practice address
909 Midland Ave
Yonkers, NY 10704-1092
Phone
(914) 969-0231
Fax
(914) 969-0200
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Maria A Branca, DPMNPI 1588652309
Title
Podiatrist
Phone
(914) 969-0231

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

909 Midland Ave
Yonkers, NY 10704-1092

Mailing address

909 Midland Ave
Yonkers, NY 10704-1092
Phone (914) 969-0231

Other identifiers 1

IdentifierTypeStateIssuer
03245374MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035428 NY DME Supplier - Physician - Podiatry 0143110445 Practice locations: Yonkers, NY
O20101105000903 NY Part B Supplier - Clinic/Group Practice 0143110445 Receives reassigned benefits from 1 practitioner
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Locations

909 Midland Ave
Yonkers, NY 10704
Phone (914) 267-5847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1962629311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "914-969-0231",
            "fax_number": "914-969-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "914-969-0231",
            "fax_number": "914-969-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A BRANCA, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "BRANCA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "914-969-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03245374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.

Verify at the official NPI Registry.