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PRIMARY CARE PHYSICIAN SPECIALIST
NPI 1205671583
Family Medicine in Bronx, NY

Active since June 27, 2024CLIA 33D2336849 · Waiver
1927 WILLIAMSBRIDGE RD, BRONX, NY 10461(718) 828-1549(718) 828-5029 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Jun 27, 2024 (2 updates tracked since 2024).

About Primary Care Physician Specialist NPPES

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

PRIMARY CARE PHYSICIAN SPECIALIST (NPI 1205671583) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through January 11, 2028, maintains a secondary practice location in Bronx, and lists Andrea Elba Andrade, President, as its authorized official.

NPPES Registry Identity

NPI1205671583
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE PHYSICIAN SPECIALIST
Location Address1927 WILLIAMSBRIDGE RDBronx, NY 10461-1604
Mailing Address1927 Williamsbridge RdBronx, NY 10461-1604 · (718) 828-1549 · Fax (718) 828-5029
Phone(718) 828-1549
Fax(718) 828-5029
Organization SubpartNo
Authorized OfficialAndrea Elba AndradePresident · (914) 498-3635
Enumeration DateJune 27, 2024
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1205671583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1927 WILLIAMSBRIDGE RD, Bronx, NY 10461
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Secondary Practice Location 1

Location 11261 Thieriot AveBronx, NY 10472-4713 · Phone (718) 828-1549 · Fax (718) 828-5029

Other Identifiers 1

Medicaid04938047NY

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 Waiver 33D2336849

Primary Care Physician Specialist Dba Personal Touch Medical · Bronx, NY
Active · expires Jan 11, 2028
CLIA Number33D2336849
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorAndrea E. Andrade
Laboratory Phone(718) 828-1549
Laboratory LocationPrimary Care Physician Specialist Dba Personal Touch Medical1927 Williamsbridge Road Level 1, Bronx, NY 10461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

LORIS OMESH DREPAUL M.D.
Internal Medicine
1927 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 828-1549
PERSONAL TOUCH MEDICAL OF THROGS NECK REHABILITATION & PHYSICAL MED
Clinic/Center (Multi-Specialty)
1927 WILLIAMSBRIDGE RD, FL 1
BRONX, NY 10461
Bronx County (718) 828-1549
ECO MEDICAL AND SLEEP MANAGEMENT INC
Clinic/Center (Sleep Disorder Diagnostic)
1927 WILLIAMSBRIDGE RD, LOWER LEVEL
BRONX, NY 10461
Bronx County (718) 828-1549
M.WALSH,RPA,P.C.
Clinic/Center (Community Health)
1927 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (347) 266-5251
GRANDVIDA ADULT DAY CARE INC.
Clinic/Center (Adult Day Care)
1927 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 576-1962
PERSONAL TOUCH MEDICAL OF THROGS NECK REHABILITATION & PHYSICAL MED
Clinic/Center (Multi-Specialty)
1927 WILLIAMSBRIDGE RD
BRONX, NY 10461
Bronx County (718) 828-1549

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 Primary Care Physician Specialist's NPI number?

The NPI number for Primary Care Physician Specialist is 1205671583. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Primary Care Physician Specialist located?

Primary Care Physician Specialist is located at 1927 Williamsbridge Rd, Bronx, NY 10461. The listed phone number is (718) 828-1549.

What is Primary Care Physician Specialist's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Primary Care Physician Specialist hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2336849) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Care Physician Specialist was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.