BRONX BOROUGH MEDICAL PRACTICE PC – NPI #1124590641
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

BRONX BOROUGH MEDICAL PRACTICE PC is a provider located in BRONX, NY. NPPES has assigned the NPI number 1124590641 to BRONX BOROUGH MEDICAL PRACTICE PC on December 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

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 BRONX BOROUGH MEDICAL PRACTICE PC below.

NPI Profile for
BRONX BOROUGH MEDICAL PRACTICE PC

NPI Number
1124590641
Enumeration Date

(more than 7 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
BRONX BOROUGH MEDICAL PRACTICE PC
Primary location
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469-4806
Phone: (914) 395-3691 Fax:
Mailing address
369 WHITE PLAINS RD STE B
EASTCHESTER, NY 10709-2805
Phone: (914) 395-3691 Fax:
Organization Subpart
No
Authorized Official
MACK SULLIVAN
OWNER
Phone: (914) 395-3691
Updated
Identifiers

Identifiers for BRONX BOROUGH MEDICAL PRACTICE PC

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
OTHERLICENSENY115019
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
207RS0010X
- Internal Medicine / Sports Medicine

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.