BRONXCARE MEDICAL AND DENTAL CENTER AT POE
NPI 1700184116
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY

Active since March 09, 2011
2432 GRAND CONCOURSE, BRONX, NY 10458(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: October 18, 2026.

About Bronxcare Medical And Dental Center At Poe NPPES

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

BRONXCARE MEDICAL AND DENTAL CENTER AT POE (NPI 1700184116) 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

NPI1700184116
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER
Location Address2432 GRAND CONCOURSEBronx, NY 10458
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 901-8600 · Fax (718) 293-1475
Fax(718) 293-1475
Organization SubpartYesParent: Dr Martin Luther King Jr Health Center Inc
Authorized OfficialVictor G DemarcoSenior Vp-chief Financial Officer · (718) 901-8600
Enumeration DateMarch 9, 2011
Last NPPES UpdateMay 31, 2018
✔ NPI 1700184116 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
2432 GRAND CONCOURSE, Bronx, NY 10458

Other Names 1

Other NameBronxcare Medical And Dental Center At Poe

Other Identifiers 2

OtherW0437NY · Blue Cross
Medicaid03410900NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bronxcare Medical And Dental Center At Poe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110329000574Part A · Federally Qualified Health Center (FQHC)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2432 GRAND CONCOURSE
BRONX, NY 10458
Dentist
2432 GRAND CONCOURSE
BRONX, NY 10458
Social Worker (Clinical)
2432 GRAND CONCOURSE, ROOM 203
BRONX, NY 10458
Social Worker (Clinical)
2432 GRAND CONCOURSE, SUITE 505
BRONX, NY 10458
Emergency Medicine
2432 GRAND CONCOURSE
BRONX, NY 10458
Psychiatry & Neurology (Psychiatry)
2432 GRAND CONCOURSE, SUITE 201
BRONX, NY 10458
Social Worker (Clinical)
2432 GRAND CONCOURSE, 203
BRONX, NY 10458
Pediatrics (Pediatric Hematology-Oncology)
2432 GRAND CONCOURSE, POE CLINIC
BRONX, NY 10458

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 1700184116. It was assigned to this organization in the NPPES registry on March 9, 2011. The provider is also known as Bronxcare Medical And Dental Center At Poe.

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

Bronxcare Dr. Martin Luther King Jr. Health Center is located at 2432 Grand Concourse, Bronx, NY 10458. 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.

Is Bronxcare Dr. Martin Luther King Jr. Health Center enrolled in Medicare?

Yes. Bronxcare Dr. Martin Luther King Jr. Health Center is registered in the Medicare PECOS enrollment system.

When is Bronxcare Dr. Martin Luther King Jr. Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New York, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Bronxcare Dr. Martin Luther King Jr. Health Center accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Bronxcare Dr. Martin Luther King Jr. Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.