Divinity Physician Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIVINITY PHYSICIAN SERVICES PLLC

Practice address

332 E 149TH St
Bronx, NY 10451-5606

Phone

(347) 329-4010

Fax

(347) 329-4009

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Gupta, M.D

Title

Medical Director

Phone

(914) 844-9803

Specialties & licenses 1

Addresses

Other names 1

• AFC Primary Care Doing business as

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1962935163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515606",
            "telephone_number": "347-329-4010",
            "fax_number": "347-329-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515606",
            "telephone_number": "347-329-4010",
            "fax_number": "347-329-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-844-9803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine A Ditren
• Laura J Ditusa, AU.D.
• Diverse Voices Speech Language Pathology PLLC
• Diversified Orthotics
• Divine Health Medical Supplies, Inc.
• Divino Nino Pediatrics
• Divino Pharmacy Corp
• Joseph Divito, MD
• Khuzem Ahmed Diwan
• Ruffaida Diwan, M.D.

• 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 Aug 14, 2023; 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.