NPIMap

Organization Active NPI

Fordam University

  • Student Health Clinic/Center
  • Bronx, NY
National Provider Identifier
1992000640
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
F336467 Issued in NY
Legal business name
FORDAM UNIVERSITY
Practice address
441 E Fordham Rd
Bronx, NY 10458-5149
Phone
(718) 817-4160
Fax
(718) 817-3218
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Kulravee Keegan, D.O.
Title
D.O.
Phone
(718) 817-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X F336467 NY Primary

Addresses

Primary practice location

441 E Fordham Rd
Bronx, NY 10458-5149

Mailing address

441 E Fordham Rd
Bronx, NY 10458-5149
Phone (718) 817-4160

Other names 1

  • Student Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Fordam University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1992000640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585149",
            "telephone_number": "718-817-4160",
            "fax_number": "718-817-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585149",
            "telephone_number": "718-817-4160",
            "fax_number": "718-817-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDAM UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "KULRAVEE",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "718-817-4160",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "F336467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.