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MOSHOLU MEDICAL GROUP P.C
NPI 1487059515
Internal Medicine in Bronx, NY

Active since October 31, 2014
5750 MOSHOLU AVE, BRONX, NY 10471(914) 519-7402(914) 591-9794 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mosholu Medical Group P.c NPPES

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

MOSHOLU MEDICAL GROUP P.C (NPI 1487059515) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since October 2014. The organization lists Theodore Costa Docu, Owner, as its authorized official.

NPPES Registry Identity

NPI1487059515
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOSHOLU MEDICAL GROUP P.C
Location Address5750 MOSHOLU AVEBronx, NY 10471-2206
Mailing Address5750 Mosholu AveBronx, NY 10471-2206 · (914) 519-7402 · Fax (914) 591-9794
Phone(914) 519-7402
Fax(914) 591-9794
Organization SubpartNo
Authorized OfficialTheodore Costa DocuOwner · (718) 601-0627
Enumeration DateOctober 31, 2014
Last NPPES UpdateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1487059515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 182886✔ Licensed in NY · 245895
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5750 MOSHOLU AVE, Bronx, NY 10471
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Other Names 1

Former Legal Business NameMosholu Medical Group P.c

Other Identifiers 2

Medicaid0244899NY
Medicaid01189151NY

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 2

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

DR. MARINA YUSUPOV
Internal Medicine
5750 MOSHOLU AVE
BRONX, NY 10471
Bronx County (718) 363-6771
DR. THERESA M MILLER M.D.
Family Medicine
5750 MOSHOLU AVE
BRONX, NY 10471
Bronx County (718) 601-0627

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 Mosholu Medical Group P.C's NPI number?

The NPI number for Mosholu Medical Group P.C is 1487059515. It was assigned to this organization in the NPPES registry on October 31, 2014.

Where is Mosholu Medical Group P.C located?

Mosholu Medical Group P.C is located at 5750 Mosholu Ave, Bronx, NY 10471. The listed phone number is (914) 519-7402.

What is Mosholu Medical Group P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mosholu Medical Group P.C was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.