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MMC AT JACKSON AVE FAMILY RESIDENCE
NPI 1326232091
Clinic/Center - Primary Care in Bronx, NY

Active since September 05, 2007
691 EAST 138TH STREET, MMC AT JACKSON AVE FAMILY RESIDEN, BRONX, NY 10454(914) 377-4722 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 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 1326232091) is a healthcare organization registered as a primary care 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

NPI1326232091
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMMC AT JACKSON AVE FAMILY RESIDENCE
Location Address691 EAST 138TH STREET, MMC AT JACKSON AVE FAMILY RESIDENBronx, NY 10454-3307
Mailing Address100 Corporate Drive, CmoYonkers, NY 10701 · (914) 377-4722
Phone(914) 377-4722
Organization SubpartYesParent: Montefiore Medical Center
Authorized OfficialMichael G DowlingDirector · (914) 377-4668
Enumeration DateSeptember 5, 2007
✔ NPI 1326232091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 7000006H
691 EAST 138TH STREET, 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 1326232091. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Mmc At Jackson Ave Family Residence located?

Mmc At Jackson Ave Family Residence is located at 691 East 138th Street Mmc At Jackson Ave Family Residen, 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 Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mmc At Jackson Ave Family Residence was last updated on September 5, 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.