OrganizationSouth Bronx MedicalSpecialistOther Service ProvidersPractice Address951 Brook Ave, Bronx, NY 10451-4209(855) 699-7246PECOS EnrollmentBased on the most recent information from CMS, provider South Bronx Medical does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 8:41 AM.Profile DetailsProvider ID1073330247Provider TypeOrganizationFull NameSouth Bronx MedicalSubpartNoEnumeration Date9/20/2024Last Updated9/20/2024Contact InformationPractice LocationPractice Address951 Brook Ave, Bronx, NY 10451-4209Phone(855) 699-7246Fax(718) 766-9763Mailing LocationMailing AddressPO Box 110, Nutley, NJ 07110-0110Phone(855) 699-7246Fax(718) 766-9763Authorized OfficialNameMohammed, Neesha N (Operations Manager)Phone(855) 699-7246Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer