Active NPI
Richard Memoli, M.D., P.C.
- Medical Specialty Clinic/Center
- Bronx, NY
National Provider Identifier
1992073068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 106200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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": []
}
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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.