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MMC AT JACKSON AVE FAMILY RESIDENCE
NPI 1285829507
Clinic/Center - Multi-Specialty in Bronx, NY

Active since September 10, 2007
MMC AT JACKSON AVE FAMILY RESIDENCE, 691 EAST 138TH STREET, BRONX, NY 10454(914) 377-4722 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmc At Jackson Ave Family Residence NPPES

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

MMC AT JACKSON AVE FAMILY RESIDENCE (NPI 1285829507) is a healthcare organization registered as a multi-specialty in Bronx, New York and active in the NPI registry since September 2007. The organization lists Michael G Dowling, Director, as its authorized official.

NPPES Registry Identity

NPI1285829507
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMMC AT JACKSON AVE FAMILY RESIDENCE
Location AddressMMC AT JACKSON AVE FAMILY RESIDENCE, 691 EAST 138TH STREETBronx, NY 10454-3307
Mailing AddressCmo, 100 Corporate DriveYonkers, NY 10701 · (914) 377-4722
Phone(914) 377-4722
Organization SubpartYesParent: Montefiore Medical Center
Authorized OfficialMichael G DowlingDirector · (914) 377-4668
Enumeration DateSeptember 10, 2007
✔ NPI 1285829507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NY · 7000006H
MMC AT JACKSON AVE FAMILY RESIDENCE, Bronx, NY 10454
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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 Mmc At Jackson Ave Family Residence's NPI number?

The NPI number for Mmc At Jackson Ave Family Residence is 1285829507. It was assigned to this organization in the NPPES registry on September 10, 2007.

Where is Mmc At Jackson Ave Family Residence located?

Mmc At Jackson Ave Family Residence is located at Mmc At Jackson Ave Family Residence 691 East 138th Street, Bronx, NY 10454. The listed phone number is (914) 377-4722.

What is Mmc At Jackson Ave Family Residence's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Mmc At Jackson Ave Family Residence was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.