Medalliance Medical Health Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MEDALLIANCE MEDICAL HEALTH SERVICES

Practice address

5041 Broadway
New York, NY 10034-1131

Phone

(646) 869-2144

Fax

(646) 869-4955

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Marisol Bravo

Title

Admin Assistant/ Credentialing

Phone

(718) 933-1900

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medalliance Med Health Serv4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Medalliance Medical Health Services

  • Customized Equipment (DME)
  • Bronx, NY
  • NPI 1083892970
  NPD tax ID
• Medalliance Medical Health Services

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1114232311
  NPD tax ID
• Medalliance Medical Health Services

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1861723769
  NPD tax ID

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1982243887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585049",
            "telephone_number": "718-933-1900",
            "fax_number": "718-563-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341131",
            "telephone_number": "646-869-2144",
            "fax_number": "646-869-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLIANCE MEDICAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "ADMIN ASSISTANT/ CREDENTIALING",
        "authorized_official_telephone_number": "718-933-1900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Star Surgical & Breathing Equipment, Inc.
• Med Support Inc
• Med Tech Inc.
• Antonia Medaglia
• Cynthia Ann Medalie, LCSW
• Tyron Medallo, PT
• John Medamana, MD
• Clydene C Medas
• Meghana Medavaram
• Medblob, Inc

• Multi-Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.