IMELDA MBOCK M MD
NPI 1972440790
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 30, 2026
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imelda Mbock M Md NPPES

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

IMELDA MBOCK M MD (NPI 1972440790) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1972440790
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMELDA MBOCK MCredential: MD
Location Address355 BARD AVE DEPT OFStaten Island, NY 10310-1664
Mailing Address355 Bard Ave Dept OfStaten Island, NY 10310-1664 · (718) 818-2419
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1972440790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVE DEPT OF, Staten Island, NY 10310

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.

Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF, 1ST FLOOR
STATEN ISLAND, NY 10310
Psychiatry & Neurology (Psychiatry)
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE DEPT OF
STATEN ISLAND, NY 10310

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 Imelda Mbock M's NPI number?

The NPI number for Imelda Mbock M is 1972440790. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Imelda Mbock M located?

Imelda Mbock M practices at 355 Bard Ave Dept Of, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Imelda Mbock M's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Imelda Mbock M was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.