| Metro Community Health Centers, Inc. | |
|
979 Cross Bronx Expy Service Road North Bronx NY 10460-4885 | |
| (718) 665-7565 | |
| (718) 328-5881 |
| Full Name | Metro Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 979 Cross Bronx Expy, Bronx, New York |
| Authorized Official Name and Position | Fred Wong (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Community Health Centers, Inc. 40 Rector St Fl 15 New York NY 10006-1722 Ph: (212) 947-5770 | Metro Community Health Centers, Inc. 979 Cross Bronx Expy Service Road North Bronx NY 10460-4885 Ph: (718) 665-7565 |
| NPI Number | 1841536554 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 8921227687 |
|---|---|
| Medicare Enrollment ID | O20140912000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841536554 | NPI | - | NPPES |
| 571005 | Other | NY | CMS CERTIFICATION |
| 04195942 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Thomas Hays |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497778799 PECOS PAC ID: 9133117757 Enrollment ID: I20040503001572 |
| Provider Name | Peter J Pasqua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760540058 PECOS PAC ID: 9436109212 Enrollment ID: I20050128000848 |
| Provider Name | Lorna Avila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346250545 PECOS PAC ID: 3779588876 Enrollment ID: I20060925000106 |
| Provider Name | Marc S Schumann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972525418 PECOS PAC ID: 4385642917 Enrollment ID: I20061115000184 |
| Provider Name | Stephanie Hamarman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851484034 PECOS PAC ID: 6800991290 Enrollment ID: I20070412000601 |
| Provider Name | Robert A Miele |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922172733 PECOS PAC ID: 2163515677 Enrollment ID: I20070829000465 |
| Provider Name | Monique Rousseau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306974399 PECOS PAC ID: 8224111067 Enrollment ID: I20080216000025 |
| Provider Name | Andrea M Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053496422 PECOS PAC ID: 0345303533 Enrollment ID: I20090114000557 |
| Provider Name | Mehri Songhorian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407838766 PECOS PAC ID: 7113075409 Enrollment ID: I20090424000131 |
| Provider Name | Leon Zacharowicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184877508 PECOS PAC ID: 8022281732 Enrollment ID: I20111025000462 |
| Provider Name | Michael A Schevon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265490148 PECOS PAC ID: 5092974204 Enrollment ID: I20120307000758 |
| Provider Name | Indira M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801832514 PECOS PAC ID: 4880854801 Enrollment ID: I20120329000319 |
| Provider Name | Mamta Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639471279 PECOS PAC ID: 4688857501 Enrollment ID: I20120402000630 |
| Provider Name | Grazyna Kusmierska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356549042 PECOS PAC ID: 0244493716 Enrollment ID: I20120521000016 |
| Provider Name | Trinidad Palmiery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467594960 PECOS PAC ID: 6608031778 Enrollment ID: I20120625000063 |
| Provider Name | Aruna S Agni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801917786 PECOS PAC ID: 8820253024 Enrollment ID: I20120712000578 |
| Provider Name | Barrington D Burt Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255666194 PECOS PAC ID: 9436392412 Enrollment ID: I20130822000000 |
| Provider Name | Ji Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285989244 PECOS PAC ID: 9234364514 Enrollment ID: I20131022000509 |
| Provider Name | Rita Marie Bilello |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205011814 PECOS PAC ID: 2062643323 Enrollment ID: I20140331000130 |
| Provider Name | Vonalis S Pina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659687101 PECOS PAC ID: 2567687999 Enrollment ID: I20140627000480 |
| Provider Name | Rose E Romain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467705517 PECOS PAC ID: 0749509230 Enrollment ID: I20150505001587 |
| Provider Name | Matthew Lobosco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487896148 PECOS PAC ID: 6204121395 Enrollment ID: I20160829001959 |
| Provider Name | Sung Min Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568821510 PECOS PAC ID: 1850661265 Enrollment ID: I20170718002095 |
| Provider Name | James M Carnelia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508987405 PECOS PAC ID: 4183901929 Enrollment ID: I20170823003364 |
| Provider Name | Cassandra Menelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790034759 PECOS PAC ID: 4789949058 Enrollment ID: I20180607002303 |
| Provider Name | Winsley K Calip-yero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457856825 PECOS PAC ID: 2466797402 Enrollment ID: I20181220000832 |
| Provider Name | Ira Salom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124027750 PECOS PAC ID: 8527193192 Enrollment ID: I20200224000125 |
| Provider Name | Yelena Geller-berdichevsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356965594 PECOS PAC ID: 5092128074 Enrollment ID: I20210112002121 |
| Provider Name | Stephine Oparaugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801413448 PECOS PAC ID: 5991119174 Enrollment ID: I20210129000555 |
| Provider Name | Cameron Tillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629469150 PECOS PAC ID: 9638586464 Enrollment ID: I20210323002556 |
| Provider Name | Agyeibea Apau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295492833 PECOS PAC ID: 9830576628 Enrollment ID: I20220517001365 |
| Provider Name | Doris Azornu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902399173 PECOS PAC ID: 3779962923 Enrollment ID: I20220620000702 |
| Provider Name | Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700410479 PECOS PAC ID: 1951771989 Enrollment ID: I20230106002567 |
| Provider Name | Rashidat Jolaoluwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006983 PECOS PAC ID: 0648645911 Enrollment ID: I20230419001259 |
| Provider Name | Leslie D Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477001667 PECOS PAC ID: 4385041391 Enrollment ID: I20230419002230 |
| Provider Name | Kennedy C Onyenwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760021604 PECOS PAC ID: 1557727484 Enrollment ID: I20230519001127 |
| Provider Name | Marie Ann Fanning |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699461947 PECOS PAC ID: 9032576533 Enrollment ID: I20230526001063 |
| Provider Name | Susan Elise Remmers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750408282 PECOS PAC ID: 3072823988 Enrollment ID: I20231016001970 |
| Provider Name | Sina Nazeri |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013583848 PECOS PAC ID: 9537504352 Enrollment ID: I20240301002612 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |