Active NPI
Downtown Bronx Medical Associates,P.C.
- General Acute Care Hospital
- Bronx, NY
National Provider Identifier
1992889984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- DOWNTOWN BRONX MEDICAL ASSOCIATES,P.C.
- Practice address
- 2180 Holland Ave Apt 3B
Bronx, NY 10462-1739 - Phone
- (718) 892-0432
- NPI assigned
- Oct 25, 2006
- 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. Sergey Anatolyevich Prokhorov, M.D.
- Title
- Pediatric Neurologist
- Phone
- (718) 579-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
2180 Holland Ave Apt 3B
Bronx, NY 10462-1739
Mailing address
2180 Holland Ave Apt 3B
Bronx, NY 10462-1739
Phone (718) 892-0432
National Provider Directory
National Provider Directory- Tax ID family
- Downtown Bronx Medical Associates PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1881762268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992889984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 HOLLAND AVE APT 3B",
"city": "BRONX",
"state": "NY",
"postal_code": "104621739",
"telephone_number": "718-892-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 HOLLAND AVE APT 3B",
"city": "BRONX",
"state": "NY",
"postal_code": "104621739",
"telephone_number": "718-892-0432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN BRONX MEDICAL ASSOCIATES,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PROKHOROV",
"authorized_official_first_name": "SERGEY",
"authorized_official_middle_name": "ANATOLYEVICH",
"authorized_official_title_or_position": "PEDIATRIC NEUROLOGIST",
"authorized_official_telephone_number": "718-579-6200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.