Organization Active NPI

Downtown Bronx Medical Associates,P.C.

  • General Acute Care Hospital
  • Bronx, NY
National Provider Identifier
1992889984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 PC2 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": "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.

Verify at the official NPI Registry.