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BRONX CARE TIFFANY MED&PED PRACTICE
NPI 1528366937
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY

Active since March 09, 2011
853 TIFFANY STREET, BRONX, NY 10459(718) 901-8600(718) 293-1475 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bronx Care Tiffany Med&ped Practice NPPES

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

BRONX CARE TIFFANY MED&PED PRACTICE (NPI 1528366937) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since March 2011. The organization lists Victor G Demarco, Senior Vp-chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1528366937
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
Location Address853 TIFFANY STREETBronx, NY 10459
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 901-8600 · Fax (718) 293-1475
Phone(718) 901-8600
Fax(718) 293-1475
Organization SubpartYes
Authorized OfficialVictor G DemarcoSenior Vp-chief Financial Officer · (718) 901-8600
Enumeration DateMarch 9, 2011
Last NPPES UpdateMay 31, 2018
✔ NPI 1528366937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in NY · 7000212R
853 TIFFANY STREET, Bronx, NY 10459
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Other Names 1

Other NameBronx Care Tiffany Med&ped Practice

Other Identifiers 2

OtherW0437NY · Blue Cross
Medicaid03410579NY

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 Bronxcare Dr. Martin Luther King Jr. Health Center's NPI number?

The NPI number for Bronxcare Dr. Martin Luther King Jr. Health Center is 1528366937. It was assigned to this organization in the NPPES registry on March 9, 2011. The provider is also known as Bronx Care Tiffany Med&ped Practice.

Where is Bronxcare Dr. Martin Luther King Jr. Health Center located?

Bronxcare Dr. Martin Luther King Jr. Health Center is located at 853 Tiffany Street, Bronx, NY 10459. The listed phone number is (718) 901-8600.

What is Bronxcare Dr. Martin Luther King Jr. Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Bronxcare Dr. Martin Luther King Jr. Health Center was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.