<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 1001 Jennings St, Bronx, New York. For appointments, you can reach them via phone at (347) 407-7100. The mailing address for is 1065 Southern Blvd, Bronx, New York and phone number is (718) 589-2440.

is licensed to practice in New York (license number 02994952). The clinic also participates in the medicare program and its NPI number is 1023503927. 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 (347) 407-7100.

Contact Information


	1001 Jennings St Bronx NY 10460-6032
	(347) 407-7100
	(718) 484-8648

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1001 Jennings St, Bronx, New York
Authorized Official Name and Position	Paloma Hernandez (PRESIDENT AND CEO)
Authorized Official Contact	7185892440
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1065 Southern Blvd Bronx NY 10459-2417 Ph: (718) 589-2440	1001 Jennings St Bronx NY 10460-6032 Ph: (347) 407-7100

NPI Details:

NPI Number	1023503927
Provider Enumeration Date	06/25/2018
Last Update Date	09/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3173517281
Medicare Enrollment ID	O20190530002286

Medical Identifiers

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

Identifier	Type	State	Issuer
1023503927	NPI	-	NPPES
W03211	Other	NY	OSCAR
02994952	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	02994952 (New York)	Primary

Reviews and Comments

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- Medicare Primary Care in Bronx, NY