Provider Demographics
NPI:1679889679
Name:RAMPIM MEDICAL CARE OF THE BRONX PC
Entity Type:Organization
Organization Name:RAMPIM MEDICAL CARE OF THE BRONX PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:718-803-7300
Mailing Address - Street 1:357 E 145TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-1006
Mailing Address - Country:US
Mailing Address - Phone:718-993-5093
Mailing Address - Fax:718-993-5099
Practice Address - Street 1:3747 77TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6629
Practice Address - Country:US
Practice Address - Phone:718-803-7300
Practice Address - Fax:718-478-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212292-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========Medicare Oscar/Certification
NY=========Medicare UPIN