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PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1063926962
Surgery - Vascular Surgery in Bronx, NY

Active since November 30, 2017
2157 WHITE PLAINS RD STE A, BRONX, NY 10462(718) 301-1100 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2020, May 24, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Pelham Pkwy Professional Medical Services Of New York Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1063926962) is a healthcare organization registered as a vascular surgery in Bronx, New York and active in the NPI registry since November 2017. The organization lists Ami Almeda, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1063926962
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Location Address2157 WHITE PLAINS RD STE ABronx, NY 10462
Mailing AddressPo Box 32Northbrook, IL 60065-0032 · (718) 301-1100
Phone(718) 301-1100
Organization SubpartNo
Authorized OfficialAmi AlmedaCredentialing Manager · (224) 318-0118
Enumeration DateNovember 30, 2017
Last NPPES UpdateJune 4, 20203 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1063926962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2157 WHITE PLAINS RD STE A, Bronx, NY 10462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2157760

Pelham Pkwy Professional Medical Services Of New York LLC · Bronx, NY
Expired · Jul 31, 2026
CLIA Number33D2157760
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Jacob White
Laboratory Phone(718) 301-1100
Laboratory LocationPelham Pkwy Professional Medical Services Of New York LLC2157 White Plains Road, Bronx, NY 10462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pelham Pkwy Professional Medical Services Of New York LLC's NPI number?

The NPI number for Pelham Pkwy Professional Medical Services Of New York LLC is 1063926962. It was assigned to this organization in the NPPES registry on November 30, 2017.

Where is Pelham Pkwy Professional Medical Services Of New York LLC located?

Pelham Pkwy Professional Medical Services Of New York LLC is located at 2157 White Plains Rd Ste A, Bronx, NY 10462. The listed phone number is (718) 301-1100.

What is Pelham Pkwy Professional Medical Services Of New York LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Pelham Pkwy Professional Medical Services Of New York LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.