PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC – NPI #1063926962
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC is a surgeon located in BRONX, NY. NPPES has assigned the NPI number 1063926962 to PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC on November 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Jun 04, 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 PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC below.

NPI Profile for
PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

NPI Number
1063926962
Enumeration Date

(more than 8 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
PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Primary location
2157 WHITE PLAINS RD STE A
BRONX, NY 10462
Phone: (718) 301-1100 Fax:
Mailing address
PO BOX 32
NORTHBROOK, IL 60065-0032
Phone: (718) 301-1100 Fax:
Organization Subpart
No
Authorized Official
AMI ALMEDA
CREDENTIALING MANAGER
Phone: (224) 318-0118
Updated
Certification Date
Jun 04, 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.

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
2086S0129X
- Surgery / Vascular Surgery (Primary)

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.