PAMBO MEDICAL NEURO-REHABILITATION PC
NPI 1477822138
Psychiatry & Neurology - Neuromuscular Medicine in Bronx, NY

Active since December 23, 2011
930 GRAND CONCOURSE, SUITE 1J, BRONX, NY 10451(718) 410-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neuromuscular Medicine

About PAMBO MEDICAL NEURO-REHABILITATION PC

This page provides the complete NPI Profile along with additional information for Pambo Medical Neuro-rehabilitation Pc, a provider established in Bronx, New York operating as a Psychiatry & Neurology, focusing in neuromuscular medicine . The healthcare provider is registered in the NPI registry with number 1477822138 assigned on December 2011. The practitioner's primary taxonomy code is 2084N0008X with license number 192310 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Osafradu Opam Md (President)

NPI
1477822138 Verify this NPI
Provider Name
PAMBO MEDICAL NEURO-REHABILITATION PC
Entity Type
Organization
Location Address
930 GRAND CONCOURSE SUITE 1J BRONX, NY 10451
Location Phone
(718) 410-5000
Mailing Address
930 GRAND CONCOURSE SUITE 1J BRONX, NY 10451
Mailing Phone
(718) 410-5000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2011
Last Update Date
11-30-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neuromuscular Medicine

Taxonomy Code
2084N0008X
Type
Allopathic & Osteopathic Physicians
License No.
192310
License State
NY
Taxonomy Description
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OSAFRADU OPAM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(718) 410-5000

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinic/Center
930 GRAND CONCOURSE
BRONX, NY 10451
Physician Assistant (Medical)
930 GRAND CONCOURSE
BRONX, NY 10451
Nurse Practitioner (Adult Health)
930 GRAND CONCOURSE
BRONX, NY 10451
Podiatrist
930 GRAND CONCOURSE
BRONX, NY 10451
Chiropractor
930 GRAND CONCOURSE
BRONX, NY 10451
Family Medicine
930 GRAND CONCOURSE, APT 2G
BRONX, NY 10451
Family Medicine
930 GRAND CONCOURSE, APT #10E
BRONX, NY 10451
Counselor (Mental Health)
930 GRAND CONCOURSE
BRONX, NY 10451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477822138, enumerated as an "organization" on December 23, 2011.

The provider is located at 930 GRAND CONCOURSE SUITE 1J BRONX, NY 10451 and the phone number is (718) 410-5000.

Psychiatry & Neurology with taxonomy code 2084N0008X and a focus in Neuromuscular Medicine.