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BRONX BOROUGH MEDICAL PRACTICE PC
NPI 1124590641
Physical Medicine & Rehabilitation - Pain Medicine in Bronx, NY

Active since December 21, 2018
2494 WILLIAMSBRIDGE RD, BRONX, NY 10469(914) 395-3691 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bronx Borough Medical Practice Pc NPPES

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

BRONX BOROUGH MEDICAL PRACTICE PC (NPI 1124590641) is a healthcare organization registered as a pain medicine in Bronx, New York and active in the NPI registry since December 2018. The organization lists Mack Lee Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1124590641
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameBRONX BOROUGH MEDICAL PRACTICE PC
Location Address2494 WILLIAMSBRIDGE RDBronx, NY 10469-4806
Mailing Address369 White Plains Rd Ste BEastchester, NY 10709-2805 · (914) 395-3691
Phone(914) 395-3691
Organization SubpartNo
Authorized OfficialMack Lee SullivanOwner · (914) 395-3691
Enumeration DateDecember 21, 2018
✔ NPI 1124590641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
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.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
2494 WILLIAMSBRIDGE RD, Bronx, NY 10469
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Other Identifiers 1

Other115019NY · License

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN DIAZ M.D.
Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Bronx County (718) 652-1802
ARVI MARIE SELERIO VILLANUEVA
Physical Therapist
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Bronx County (718) 652-1802
ARVI VILLANUEVA PTPC
Clinic/Center (Physical Therapy)
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Bronx County (718) 652-1802
SALUD MEDICAL PC
Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Bronx County (718) 652-1802
DR. REALBA RODRIGUEZ IGLESIAS M.D
Internal Medicine
2494 WILLIAMSBRIDGE RD
BRONX, NY 10469
Bronx County (718) 652-1802

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 Bronx Borough Medical Practice PC's NPI number?

The NPI number for Bronx Borough Medical Practice PC is 1124590641. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Bronx Borough Medical Practice PC located?

Bronx Borough Medical Practice PC is located at 2494 Williamsbridge Rd, Bronx, NY 10469. The listed phone number is (914) 395-3691.

What is Bronx Borough Medical Practice PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Bronx Borough Medical Practice PC was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.