BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE – NPI #1588962906
Clinic/Center
BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1588962906 to BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE on March 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE” is a dba name, the actual legal business name for this organization is BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER. 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 3 years ago on Oct 19, 2023. 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 BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE below.
NPI Profile for
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
(more than 15 years ago)
BRONX, NY 10451 Phone: (718) 901-8600 Fax: (718) 293-1475
BRONX, NY 10456-3402 Phone: (718) 901-8600 Fax: (718) 293-1475
SENIOR VP-CHIEF FINANCIAL OFFICER
Phone: (718) 901-8600
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BRONXCARE THIRD AVENUE MEDICAL & DENTAL PRACTICE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE CROSS | NY | W0437 |
| medicaid | NY | 03410588 |
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 | 7000212R |
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.