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MEDALLIANCE MEDICAL HEALTH SERVICES
NPI 1982243887
Clinic/Center - Multi-Specialty in New York, NY

Active since December 26, 2019CLIA Certified · 3 labs
5041 BROADWAY, NEW YORK, NY 10034(646) 869-2144(646) 869-4955 Get Directions Write a Review

NPPES record last updated: December 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medalliance Medical Health Services NPPES

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

MEDALLIANCE MEDICAL HEALTH SERVICES (NPI 1982243887) is a healthcare organization registered as a multi-specialty in New York, New York and active in the NPI registry since December 2019. The organization holds 3 active CLIA laboratory certificates and lists Marisol Bravo, Admin Assistant/ Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982243887
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEDALLIANCE MEDICAL HEALTH SERVICES
Location Address5041 BROADWAYNew York, NY 10034-1131
Mailing Address625 E Fordham RdBronx, NY 10458-5049 · (718) 933-1900 · Fax (718) 563-4039
Phone(646) 869-2144
Fax(646) 869-4955
Organization SubpartNo
Authorized OfficialMarisol BravoAdmin Assistant/ Credentialing · (718) 933-1900
Enumeration DateDecember 26, 2019
✔ NPI 1982243887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5041 BROADWAY, New York, NY 10034
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CLIA Laboratory Certificates CMS CLIA 3

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 33D2151486

Medalliance Medical Health Services · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2151486
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 19, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carmen S. Costas-Katz
Laboratory Phone(646) 869-2144
Laboratory LocationMedalliance Medical Health Services5041 Broadway, New York, NY 10034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2151487

Medalliance Medical Health Services · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2151487
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 19, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carmen S. Costas-Katz
Laboratory Phone(646) 869-2144
Laboratory LocationMedalliance Medical Health Services625 E Fordham Rd, 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.

Certificate of Waiver 33D2102978

Medalliance Medical Health Services · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2102978
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 2, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carmen S. Costas Katz
Laboratory Phone(917) 639-3846
Laboratory LocationMedalliance Medical Health Services5037 Broadway, New York, NY 10034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LINDEN EYE CARE INC
Optometrist
5041 BROADWAY
NEW YORK, NY 10034
New York County (646) 869-2144
GAYOUNG KIM
Nurse Practitioner (Family)
5041 BROADWAY, 2ND FLOOR
NEW YORK, NY 10034
New York County (646) 869-1601
HISPANIC MEDICAL HEALTH P.C.
Family Medicine
5041 BROADWAY
NEW YORK, NY 10034
New York County (917) 557-5510

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 Medalliance Medical Health Services's NPI number?

The NPI number for Medalliance Medical Health Services is 1982243887. It was assigned to this organization in the NPPES registry on December 26, 2019.

Where is Medalliance Medical Health Services located?

Medalliance Medical Health Services is located at 5041 Broadway, New York, NY 10034. The listed phone number is (646) 869-2144.

What is Medalliance Medical Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Medalliance Medical Health Services hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Medalliance Medical Health Services was last updated on December 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.