IMPACT MEDICAL PC
NPI 1861733370
Internal Medicine in Bronx, NY

Active since March 07, 2013
552 E 180TH ST, BRONX, NY 10457(718) 933-4445(718) 933-4444 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine

About IMPACT MEDICAL PC

This page provides the complete NPI Profile along with additional information for Impact Medical Pc, an internist established in Bronx, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1861733370 assigned on March 2013. The practitioner's primary taxonomy code is 207R00000X with license number 205919 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dean Anthony Basulto Md (Solo Owner)

NPI
1861733370 Verify this NPI
Provider Name
IMPACT MEDICAL PC
Entity Type
Organization
Location Address
552 E 180TH ST BRONX, NY 10457
Location Phone
(718) 933-4445
Location Fax
(718) 933-4444
Mailing Address
552 E 180TH ST BRONX, NY 10457
Mailing Phone
(718) 933-4445
Mailing Fax
(718) 933-4444
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2013
Last Update Date
03-07-2013
Code Navigator

An internist like Impact Medical Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
205919
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEAN ANTHONY BASULTO MD

Authorized Official Title
SOLO OWNER
Authorized Official Phone
(718) 665-2900

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
552 E 180TH ST
BRONX, NY 10457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861733370, enumerated as an "organization" on March 07, 2013.

The provider is located at 552 E 180TH ST BRONX, NY 10457 and the phone number is (718) 933-4445.

Internal Medicine with taxonomy code 207R00000X.