BURNSIDE MEDICAL CENTER
NPI 1821252743
Clinic/Center - Federally Qualified Health Center (FQHC) in Bronx, NY

Q: What is Comprehensive Commuity Development Corporation's specialty?

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

Active since July 10, 2008

165 E BURNSIDE AVE, BRONX, NY 10453(718) 539-0003(718) 569-9054 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Burnside Medical Center NPPES

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

BURNSIDE MEDICAL CENTER (NPI 1821252743) is a healthcare organization registered as a federally qualified health center (fqhc) in Bronx, New York and active in the NPI registry since July 2008. The organization lists Pedro Espada, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1821252743

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION

Location Address165 E BURNSIDE AVEBronx, NY 10453-4104

Mailing Address731 White Plains RdBronx, NY 10473-2631 · (718) 589-8324 · Fax (718) 860-1838

Phone(718) 539-0003

Fax(718) 569-9054

Organization SubpartYesParent: Comprehensive Community Development Corp.

Authorized OfficialPedro EspadaPresident & Ceo · (718) 589-2232

Enumeration DateJuly 10, 2008

Last NPPES UpdateJune 21, 2018

✔ NPI 1821252743 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 · 7000239R

165 E BURNSIDE AVE, Bronx, NY 10453

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Other Names 1

Other NameBurnside Medical Center

Other Identifiers 1

Medicaid00665274NY

Other Providers at the Same Location NPPES

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

DR. MINAKSHI DHALLA MD

Pediatrics

165 E BURNSIDE AVE
BRONX, NY 10453

Bronx County (718) 589-8324

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 Comprehensive Commuity Development Corporation's NPI number?

The NPI number for Comprehensive Commuity Development Corporation is 1821252743. It was assigned to this organization in the NPPES registry on July 10, 2008. The provider is also known as Burnside Medical Center.

Where is Comprehensive Commuity Development Corporation located?

Comprehensive Commuity Development Corporation is located at 165 E Burnside Ave, Bronx, NY 10453. The listed phone number is (718) 539-0003.

What is Comprehensive Commuity Development Corporation'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 Comprehensive Commuity Development Corporation was last updated on June 21, 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.