St Anns Medical Care PPLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ST ANNS MEDICAL CARE PPLC

Practice address

555 E 141St St
Bronx, NY 10454-2106

Phone

(929) 538-3444

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Maria Molina, MD

Title

Member

Phone

(929) 538-3444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1982437729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 141ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542106",
            "telephone_number": "929-538-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 141ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542106",
            "telephone_number": "929-538-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANNS MEDICAL CARE PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "929-538-3444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.