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WELLCARE OF BX MEDICAL PC
NPI 1851848618
Family Medicine in Bronx, NY

Active since September 08, 2016CLIA 33D2275534 · Waiver
2336 GRAND CONCOURSE, BRONX, NY 10458(718) 220-0439(718) 933-2914 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellcare Of Bx Medical Pc NPPES

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

WELLCARE OF BX MEDICAL PC (NPI 1851848618) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Svetlana Khandros, Owner, as its authorized official.

NPPES Registry Identity

NPI1851848618
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLCARE OF BX MEDICAL PC
Location Address2336 GRAND CONCOURSEBronx, NY 10458-6903
Mailing Address2336 Grand ConcourseBronx, NY 10458-6903 · (718) 220-0439 · Fax (718) 933-2914
Phone(718) 220-0439
Fax(718) 933-2914
Organization SubpartNo
Authorized OfficialSvetlana KhandrosOwner · (718) 220-0439
Enumeration DateSeptember 8, 2016
✔ NPI 1851848618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 228243
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2336 GRAND CONCOURSE, Bronx, NY 10458
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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 33D2275534

Wellcare Of Bx Medical PC · Bronx, NY
Active · expires Jan 23, 2027
CLIA Number33D2275534
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorSvetlana Khandros
Laboratory Phone(718) 220-0439
Laboratory LocationWellcare Of Bx Medical PC2336 Grand Concourse, Bronx, NY 10458
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 13

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

PINNACLE DENTAL CARE P.C.
Dentist
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439
MARIA A. MUNIZ D.D.S
Dentist (General Practice)
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439
URBAN MEDICAL SERVICES OF BX PC
Family Medicine
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439
SOUTHERN WELLCARE MEDICAL PC
Family Medicine
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 907-0195
MR. TANGING D SHERPA PA
Physician Assistant
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439
SHIRLEY CARLOS-CU NP-C
Nurse Practitioner (Adult Health)
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439
AKOSUA POKUAA ADJABENG
Nurse Practitioner (Family)
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 844-1424
MS. PHELAN ANTONIA CLANCY A.N.P
Nurse Practitioner (Adult Health)
2336 GRAND CONCOURSE
BRONX, NY 10458
Bronx County (718) 220-0439

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 Wellcare Of Bx Medical PC's NPI number?

The NPI number for Wellcare Of Bx Medical PC is 1851848618. It was assigned to this organization in the NPPES registry on September 8, 2016.

Where is Wellcare Of Bx Medical PC located?

Wellcare Of Bx Medical PC is located at 2336 Grand Concourse, Bronx, NY 10458. The listed phone number is (718) 220-0439.

What is Wellcare Of Bx Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellcare Of Bx Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2275534) is associated with this NPI, valid through January 23, 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 Wellcare Of Bx Medical PC was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.