Kingsbridge Community Medical Pc is a
Family Medicine based in Bronx, New York. Kingsbridge Community Medical Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
170 West 233rd Street, Suite 1a, Bronx, New York. It can be reached at their office (for appointments etc.) via phone at
(718) 543-0700.
NPI number for Kingsbridge Community Medical Pc is 1811053507 and their current mailing address is 170 West 233rd Street, Suite 1a, Bronx, New York. Kingsbridge Community Medical Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811053507.
Healthcare Provider's Profile
| Full Name | Kingsbridge Community Medical Pc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 170 West 233rd Street, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811053507
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 03/11/2008
Medical Identifiers
Medical identifiers for Kingsbridge Community Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811053507 | NPI | - | NPPES |
| 02773393 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kingsbridge Community Medical Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kingsbridge Community Medical Pc
170 West 233rd Street, Suite 1a,
Bronx, NY 10463
Ph: (718) 543-0700 | Kingsbridge Community Medical Pc
170 West 233rd Street, Suite 1a,
Bronx, NY 10463
Ph: (718) 543-0700 |
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