Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bronx United IPA

Organization Family Medicine Physician · NPI 1508299132

Bronx United IPA is a Family Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
7

Practice location Address checks out

140 Wadsworth Ave Apt 4
New York, NY 10033-4817
Phone: (646) 417-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NY)
Family Medicine Physician Taxonomy 207Q00000X (NY)
Adult Medicine Physician Taxonomy 207QA0505X (NY)
Nephrology Physician Taxonomy 207RN0300X (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X (NY)
Pediatrics Physician Taxonomy 208000000X (NY)
General Practice Physician Taxonomy 208D00000X (NY)

Record details

NPI number1508299132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bienvenido Fajardo — Ceo · (646) 417-0500
NPI enumeratedAugust 19, 2013
Last updated in NPPESJuly 21, 2022
Mailing address140 Wadsworth Ave Apt 4, New York, NY 10033-4817

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