FAMILY MEDICINE CENTER – NPI #1306190558
Clinic/Center

FAMILY MEDICINE CENTER is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1306190558 to FAMILY MEDICINE CENTER on November 08, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY MEDICINE CENTER” is a dba name, the actual legal business name for this organization is BRONXCARE HEALTH SYSTEM. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Jun 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY MEDICINE CENTER below.

NPI Profile for
BRONXCARE HEALTH SYSTEM

NPI Number
1306190558
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRONXCARE HEALTH SYSTEM
Doing Business As (dba): FAMILY MEDICINE CENTER
Primary location
1276 FULTON AVE 3RD FLOOR
BRONX, NY 10456
Phone: (718) 901-8600 Fax: (718) 293-1475
Mailing address
1276 FULTON AVE
BRONX, NY 10456-3402
Phone: (718) 901-8600 Fax: (718) 293-1475
Organization Subpart
Yes - FAMILY MEDICINE CENTER is subpart of another organization.
Authorized Official
VICTOR DEMARCO
SENIOR VP-CHIEF FINANCIAL OFFICIER
Phone: (718) 901-8600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NY 7000001H

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.