BRONXCARE HEALTH SYSTEM – NPI #1053481192
Clinic/Center

BRONXCARE HEALTH SYSTEM is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1053481192 to BRONXCARE HEALTH SYSTEM on November 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Mar 10, 2020. 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 HEALTH SYSTEM below.

NPI Profile for
BRONXCARE HEALTH SYSTEM

NPI Number
1053481192
Enumeration Date

(more than 19 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
Primary location
1276 FULTON AVE
BRONX, NY 10456
Phone: (718) 901-8600 Fax: (718) 293-1475
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICTOR DEMARCO
SENIOR VP-CHIEF FINANCIAL OFFICER
Phone: (718) 901-8600
Updated
Certification Date
Mar 10, 2020

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

Identifiers for BRONXCARE HEALTH SYSTEM

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.

DescriptionIssuerStateIdentifier
MEDICAIDNY01571860
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (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.