MACE AVENUE MEDICAL PC
NPI 1669607255
Internal Medicine in Bronx, NY

Active since May 26, 2009CLIA 33D2030616 · Waiver
2460 MICKLE AVE, BRONX, NY 10469(718) 652-4647 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mace Avenue Medical Pc NPPES

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

MACE AVENUE MEDICAL PC (NPI 1669607255) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Robert D Pintauro, Owner, as its authorized official.

NPPES Registry Identity

NPI1669607255
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMACE AVENUE MEDICAL PC
Location Address2460 MICKLE AVEBronx, NY 10469-6240
Mailing Address2460 Mickle AveBronx, NY 10469-6240 · (718) 652-4647
Organization SubpartNo
Authorized OfficialRobert D PintauroOwner · (718) 652-4647
Enumeration DateMay 26, 2009
NPI 1669607255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 160692
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.
2460 MICKLE AVE, Bronx, NY 10469

Other Identifiers 1

Medicaid01890904NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2030616

Mace Avenue Medical, PC · Bronx, NY
Active · expires Sep 29, 2027
CLIA Number33D2030616
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDr. Robert D. Pintauro
Laboratory Phone(718) 652-4647
Laboratory LocationMace Avenue Medical, PC2460 Mickle Avenue, Bronx, NY 10469
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
2460 MICKLE AVE
BRONX, NY 10469
Nurse Practitioner (Family)
2460 MICKLE AVE
BRONX, NY 10469
Internal Medicine
2460 MICKLE AVE
BRONX, NY 10469
Internal Medicine
2460 MICKLE AVE
BRONX, NY 10469
Nurse Practitioner (Family)
2460 MICKLE AVE
BRONX, NY 10469

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 Mace Avenue Medical PC's NPI number?

The NPI number for Mace Avenue Medical PC is 1669607255. It was assigned to this organization in the NPPES registry on May 26, 2009.

Where is Mace Avenue Medical PC located?

Mace Avenue Medical PC is located at 2460 Mickle Ave, Bronx, NY 10469. The listed phone number is (718) 652-4647.

What is Mace Avenue Medical PC's specialty?

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

Does Mace Avenue Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2030616) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mace Avenue Medical PC was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.