BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
NPI 1073811485
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY
About Bronxcare Dr. Martin Luther King Jr. Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER (NPI 1073811485) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since March 2011. The organization lists Victor George Demarco, Svp Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10460
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 Bronxcare Dr. Martin Luther King Jr. Health Center's NPI number?
The NPI number for Bronxcare Dr. Martin Luther King Jr. Health Center is 1073811485. It was assigned to this organization in the NPPES registry on March 9, 2011. The provider is also known as BronxCare MBD Family Practice and Bronxcare 174th St Medical Practice.
Where is Bronxcare Dr. Martin Luther King Jr. Health Center located?
Bronxcare Dr. Martin Luther King Jr. Health Center is located at 961 E 174th St, Bronx, NY 10460. The listed phone number is (718) 992-7669.
What is Bronxcare Dr. Martin Luther King Jr. Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
When was this NPI record last updated?
The NPPES record for Bronxcare Dr. Martin Luther King Jr. Health Center was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Bronxcare Dr. Martin Luther King Jr. Health Center · NPI 1073811485
Federally Qualified Health Center (FQHC) organization in Bronx, New York. Organization record, active in the CMS NPPES registry since March 9, 2011.
## Identity
- **NPI:** 1073811485 (Entity type: Organization)
- **Enumerated:** March 9, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** BronxCare MBD Family Practice (Other Name); Bronxcare 174th St Medical Practice (Other Name)
- **Organization subpart:** Yes (part of Bronxcare Dr Martin Luther King Jr Health Center Inc)
- **Authorized official:** Victor Demarco, SVP CFO
## Practice location
- **Address:** 961 E 174TH ST, Bronx, NY 10460-5060
- **Phone:** (718) 992-7669
## Record status
- **NPPES last updated:** September 26, 2025
- **Other identifiers:** Medicaid 03410928 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1073811485) · Data from the CMS NPPES public registry.