Look up the most recent NPI and PECOS records

Bronx Cardiology, P.C

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Bronx Cardiology, P.C does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1265643001
Provider Type
Organization
Full Name
Bronx Cardiology, P.C

Subpart
No
Enumeration Date
5/24/2007
Last Updated
11/18/2010

Contact Information

Practice Location

865a Walton Ave, Bronx, NY 10451-2210

(718) 292-9200

(718) 292-9205

Mailing Location

865a Walton Ave, Bronx, NY 10451-2210

(718) 292-9200

(718) 292-9205

Authorized Official

Brown, Edward J (President)

(718) 292-9200

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 147523 New York

Provider Identifiers

ID	Description	Issuer
ID 00645987	Description Medicaid	Issuer Unlisted New York

Bronx Cardiology, P.C

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Boma, Noella Lum

Moreno, Esther

Okonkwo-Agboje, Augustine Chike

South Bronx Medical

Friedlander, Charlotte Jean

Tuitt, Tiara

Taylor, Toia

Michel, Myrlene

Mangoos Physical Therapy P.C

Leger, Diana Elena