- Practice location
- Mmc At Jackson Ave Family Residence, 691 East 138TH Street, Bronx, NY 10454-3307
- Phone
- 914-377-4722
- Fax
- —
- Last updated
- September 10, 2007
Mmc At Jackson Ave Family Residence is a healthcare organization based in Bronx, NY. Mmc At Jackson Ave Family Residence practices in Bronx, NY. The NPI Number for Mmc At Jackson Ave Family Residence is 1285829507 and holds a License No. 7000006H (NY). The current practice location address for Mmc At Jackson Ave Family Residence is Mmc At Jackson Ave Family Residence, 691 East 138TH Street, Bronx, NY 10454-3307 and can be reached out via phone at 914-377-4722.
Provider Profile Details
- NPI Number
- 1285829507
- Provider Name
- Mmc At Jackson Ave Family Residence
- Provider Entity Type
- Organization
- Address
- Mmc At Jackson Ave Family Residence, 691 East 138TH Street, Bronx, NY 10454-3307
- Phone Number
- 914-377-4722
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- Yes
- Parent Organization
- Montefiore Medical Center
- Authorized Official
- Michael G Dowling · Director · 914-377-4668
- Provider Enumeration Date
- September 10, 2007
- Last Update Date
- September 10, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Mmc At Jackson Ave Family Residence
691 East 138TH Street
Bronx, NY 10454-3307 - City
- Bronx
- State
- New York
- Zip
- 10454-3307
- Phone Number
- 914-377-4722
Provider Business Mailing Address Details
- Address
- Cmo
100 Corporate Drive
Yonkers, NY 10701 - City
- Yonkers
- State
- NY
- Zip
- 10701
- Phone Number
- 914-377-4722
License Information
- License Number
- 7000006H
- License State
- NY
- Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mmc At Jackson Ave Family Residence?
The NPI number of Mmc At Jackson Ave Family Residence is 1285829507. It was assigned on September 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Mmc At Jackson Ave Family Residence?
Mmc At Jackson Ave Family Residence is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NY under license number 7000006H.
Where does Mmc At Jackson Ave Family Residence practice?
The practice location is Mmc At Jackson Ave Family Residence, 691 East 138TH Street, Bronx, NY 10454-3307. The office can be reached at 914-377-4722 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285829507 directly on the NPPES registry website.