Organization Active NPI

Richard Memoli, M.D., P.C.

  • Medical Specialty Clinic/Center
  • Bronx, NY
National Provider Identifier
1992073068
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
106200 Issued in NY
Legal business name
RICHARD MEMOLI, M.D., P.C.
Practice address
3117 Buhre Ave
Bronx, NY 10461-4738
Phone
(718) 597-6250
Fax
(718) 863-7090
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Richard E. Memoli, M.D.
Title
Owner
Phone
(718) 597-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 106200 NY Primary

Addresses

Primary practice location

3117 Buhre Ave
Bronx, NY 10461-4738

Mailing address

3117 Buhre Ave
Bronx, NY 10461-4738
Phone (718) 597-6250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992073068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 BUHRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614738",
            "telephone_number": "718-597-6250",
            "fax_number": "718-863-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 BUHRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614738",
            "telephone_number": "718-597-6250",
            "fax_number": "718-863-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MEMOLI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MEMOLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-597-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "106200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 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.