<unavail> in Bronx, NY - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bronx, New York. The current practice location for is 1921 Jerome Avenue, Bronx, New York. For appointments, you can reach them via phone at (718) 943-1341. The mailing address for is 30 E 33rd St, 5th Floor, New York, New York and phone number is (212) 366-4459.

is licensed to practice in New York (license number 7000279R). The clinic also participates in the medicare program and its NPI number is 1013154657. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 943-1341.

Contact Information


	1921 Jerome Avenue Bronx NY 10453-5707
	(718) 943-1341
	(718) 716-3754

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1921 Jerome Avenue, Bronx, New York
Authorized Official Name and Position	John Chue (CHIEF FINANCIAL OFFICER)
Authorized Official Contact	2123664459
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
30 E 33rd St 5th Floor New York NY 10016-5337 Ph: (212) 366-4459	1921 Jerome Avenue Bronx NY 10453-5707 Ph: (718) 943-1341

NPI Details:

NPI Number	1013154657
Provider Enumeration Date	01/20/2009
Last Update Date	05/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	9830240332
Medicare Enrollment ID	O20090623000531

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013154657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	7000279R (New York)	Primary

Reviews and Comments

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- Medicare Primary Care in Bronx, NY