| Bronxdocs | |
|
932 Southern Boulevard Bronx NY 10459 | |
| (646) 680-5200 | |
| Not Available |
| Full Name | Bronxdocs |
|---|---|
| Speciality | Clinic/Center |
| Location | 932 Southern Boulevard, Bronx, New York |
| Authorized Official Name and Position | Navarra Rodriguez (PRESIDENT) |
| Authorized Official Contact | 6466802888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronxdocs C/o Advantagecare Physicians, Pc 55 Water St 2nd Floor New York NY 10041-0004 Ph: (646) 680-2888 | Bronxdocs 932 Southern Boulevard Bronx NY 10459 Ph: (646) 680-5200 |
| NPI Number | 1467826594 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5991058851 |
|---|---|
| Medicare Enrollment ID | O20181024000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467826594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Shamsul K Bhuiyan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720020480 PECOS PAC ID: 9638081003 Enrollment ID: I20031104000256 |
| Provider Name | Mumtaz Master |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528003035 PECOS PAC ID: 5597759183 Enrollment ID: I20040414001561 |
| Provider Name | Albert Graziosa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205927498 PECOS PAC ID: 0446245831 Enrollment ID: I20040415001115 |
| Provider Name | David I Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619052131 PECOS PAC ID: 4183610637 Enrollment ID: I20040421001286 |
| Provider Name | John S Auricchio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356437388 PECOS PAC ID: 6204826894 Enrollment ID: I20040515000047 |
| Provider Name | Mark Harooni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013014406 PECOS PAC ID: 9931012176 Enrollment ID: I20040622000503 |
| Provider Name | Jonathan A Sheindlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598861668 PECOS PAC ID: 9234196999 Enrollment ID: I20041214000654 |
| Provider Name | Premetesh Chattoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255395083 PECOS PAC ID: 2466419775 Enrollment ID: I20041217000295 |
| Provider Name | Mihaela I Vladutiu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538113949 PECOS PAC ID: 4385694496 Enrollment ID: I20050126000948 |
| Provider Name | Boleslav Kosharskyy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922081264 PECOS PAC ID: 3476596503 Enrollment ID: I20050608001211 |
| Provider Name | Srinivas Kesanakurthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770558397 PECOS PAC ID: 5890714356 Enrollment ID: I20051115000223 |
| Provider Name | Tsega Denneke |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902854698 PECOS PAC ID: 8921029562 Enrollment ID: I20051212000441 |
| Provider Name | Jodumutt G Bhat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356390603 PECOS PAC ID: 7618969965 Enrollment ID: I20051228000724 |
| Provider Name | Navarra V Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154364081 PECOS PAC ID: 9537182068 Enrollment ID: I20060110000862 |
| Provider Name | Julio Enrique Albarran Marzan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649364357 PECOS PAC ID: 3577569227 Enrollment ID: I20061019000640 |
| Provider Name | Dorcas C Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144317652 PECOS PAC ID: 2062446545 Enrollment ID: I20070417000411 |
| Provider Name | Mari Gem Lorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891737839 PECOS PAC ID: 8022146794 Enrollment ID: I20100518000020 |
| Provider Name | Nicole M Castillo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225357197 PECOS PAC ID: 9830214535 Enrollment ID: I20100918000066 |
| Provider Name | Nithan Narendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457531873 PECOS PAC ID: 2567531155 Enrollment ID: I20110907000756 |
| Provider Name | Emilie Rosner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942503859 PECOS PAC ID: 7517127152 Enrollment ID: I20120320000173 |
| Provider Name | Brenda St Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851658868 PECOS PAC ID: 6305095027 Enrollment ID: I20121012000247 |
| Provider Name | Mohammad M Azam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831309087 PECOS PAC ID: 5294880688 Enrollment ID: I20131008001710 |
| Provider Name | Renee L Wilson-bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134382492 PECOS PAC ID: 4587890421 Enrollment ID: I20131122001385 |
| Provider Name | Subhas Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518308220 PECOS PAC ID: 9931337540 Enrollment ID: I20140106000108 |
| Provider Name | Josephine Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306067137 PECOS PAC ID: 9638302433 Enrollment ID: I20140501001374 |
| Provider Name | Samir Garyali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679704605 PECOS PAC ID: 3072745751 Enrollment ID: I20140714001862 |
| Provider Name | Theodore Lyu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760704803 PECOS PAC ID: 7517183841 Enrollment ID: I20140811000600 |
| Provider Name | Christian Jonathan Wower |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144588203 PECOS PAC ID: 0446567580 Enrollment ID: I20150922001274 |
| Provider Name | Omar Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831517002 PECOS PAC ID: 9436466471 Enrollment ID: I20150923001953 |
| Provider Name | Tejas Bharat Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497041776 PECOS PAC ID: 2567763659 Enrollment ID: I20151215000101 |
| Provider Name | Jeanette Kreuze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119596 PECOS PAC ID: 4880991298 Enrollment ID: I20160330001848 |
| Provider Name | Maria S Agao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194920686 PECOS PAC ID: 0042509697 Enrollment ID: I20160520000740 |
| Provider Name | Main Uddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386999035 PECOS PAC ID: 1254619190 Enrollment ID: I20161028000306 |
| Provider Name | Nisha M Broodie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295170256 PECOS PAC ID: 1355626342 Enrollment ID: I20170313001583 |
| Provider Name | Bianca Van Kust |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396798526 PECOS PAC ID: 3072883388 Enrollment ID: I20170719002833 |
| Provider Name | Armel Alexis Dogruluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992225114 PECOS PAC ID: 7315297678 Enrollment ID: I20180906002597 |
| Provider Name | Patricia F Ogilvie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699810234 PECOS PAC ID: 2466743745 Enrollment ID: I20181031000608 |
| Provider Name | Felix Raju |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295157667 PECOS PAC ID: 1759635303 Enrollment ID: I20181116001902 |
| Provider Name | Seeam Nur Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487041554 PECOS PAC ID: 7113261702 Enrollment ID: I20181210000278 |
| Provider Name | Neelima Nadella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043499783 PECOS PAC ID: 6305088394 Enrollment ID: I20190104000775 |
| Provider Name | Anuoluwa Adeola Giwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131478 PECOS PAC ID: 4880935477 Enrollment ID: I20190409000689 |
| Provider Name | Lan Heng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548798036 PECOS PAC ID: 2567703176 Enrollment ID: I20190409001418 |
| Provider Name | Ajiroghene Obaro-best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558619494 PECOS PAC ID: 6901131200 Enrollment ID: I20190709001743 |
| Provider Name | Daryl J Augustine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164879037 PECOS PAC ID: 4284974593 Enrollment ID: I20190826000379 |
| Provider Name | Sasha-gaye Joachim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033770417 PECOS PAC ID: 6305178120 Enrollment ID: I20191029000820 |
| Provider Name | Rachel T Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639485089 PECOS PAC ID: 6103193834 Enrollment ID: I20200210002277 |
| Provider Name | Helen Huili Mu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487298956 PECOS PAC ID: 2769808591 Enrollment ID: I20200811003055 |
| Provider Name | Harriet A Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174123574 PECOS PAC ID: 2062823297 Enrollment ID: I20201119001933 |
| Provider Name | Rachel Michele Reece |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295236727 PECOS PAC ID: 7517371867 Enrollment ID: I20210127001290 |
| Provider Name | Chirag Dalal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417546433 PECOS PAC ID: 9335556844 Enrollment ID: I20210330001634 |
| Provider Name | Sydney Israel Malimpenet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487240172 PECOS PAC ID: 7113336579 Enrollment ID: I20210514001441 |
| Provider Name | Kesha Pantry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225001 PECOS PAC ID: 9931508975 Enrollment ID: I20210525001919 |
| Provider Name | Stephanie Duverge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819326 PECOS PAC ID: 2668874710 Enrollment ID: I20210712002572 |
| Provider Name | Wendy Renee Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033673132 PECOS PAC ID: 3577951235 Enrollment ID: I20211028003050 |
| Provider Name | Shernette Samuels - Bremnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346846995 PECOS PAC ID: 5395130454 Enrollment ID: I20220328001657 |
| Provider Name | Ruth Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477188167 PECOS PAC ID: 5496132763 Enrollment ID: I20220509000181 |
| Provider Name | Kirk Rattanakorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831693860 PECOS PAC ID: 5890176267 Enrollment ID: I20220715001604 |
| Provider Name | Nicholas Nsiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992324891 PECOS PAC ID: 7214310564 Enrollment ID: I20220818002242 |
| Provider Name | Falla Lawrence Polycarpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346898137 PECOS PAC ID: 3577946565 Enrollment ID: I20220824002545 |
| Provider Name | Chenel Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245622661 PECOS PAC ID: 4880078377 Enrollment ID: I20220901001272 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |