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

Mosholu Medical Group PC

Organization Internal Medicine Physician · NPI 1487059515

Mosholu Medical Group PC is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5750 Mosholu Ave
Bronx, NY 10471-2206
Phone: (914) 519-7402
Fax: (914) 591-9794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 182886 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 245895 (NY)

Record details

NPI number1487059515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Docu — Owner · (718) 601-0627
Other names Mosholu Medical Group P.C; Mosholu Medical Group P.C
NPI enumeratedOctober 31, 2014
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address5750 Mosholu Ave, Bronx, NY 10471-2206

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