Neighborhood Family Medical Wellness PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

214065 Issued in NY

Legal business name

NEIGHBORHOOD FAMILY MEDICAL WELLNESS PC

Practice address

3706 3Rd Ave
Bronx, NY 10456-2145

Phone

(718) 293-2626

Fax

(718) 293-2627

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eteri Tetrok, M.D.

Title

Owner

Phone

(718) 293-2626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1982839833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 3RD AVE",
            "address_2": "P.O. BOX 570-392",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577533",
            "telephone_number": "718-293-2626",
            "fax_number": "718-293-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104562145",
            "telephone_number": "718-293-2626",
            "fax_number": "718-293-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD FAMILY MEDICAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "TETROK",
        "authorized_official_first_name": "ETERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-293-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "214065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vicente Nehgme
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• Neighborhood Medical PC
• Neighborhood Pharmacy Inc
• Neighborhood RX Pharmacy Corp
• Emancia Neil, MD

• Health Maintenance Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.