Bronxcare Dr. Martin Luther King Jr. Health Center
NPI 1073811485 · Federally Qualified Health Center (FQHC) · Bronx, NY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bronxcare Dr. Martin Luther King Jr. Health Center is a Federally Qualified Health Center (FQHC) organization in Bronx, NY (NPI 1073811485).
Provider details
- NPI number
- 1073811485
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Bronxcare Dr Martin Luther King Jr Health Center Inc
- Organization subpart
- Yes
- Authorized official
- Victor Demarco, Svp Cfo(718) 901-8600
- License
- 7000212R (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bronxcare Mbd Family Practice
- Other name
- Bronxcare 174th St Medical Practice
Registry dates
- Enumerated
- 2011-03-09
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Bronxcare Dr. Martin Luther King Jr. Health Center's NPI number?
- Bronxcare Dr. Martin Luther King Jr. Health Center's National Provider Identifier (NPI) is 1073811485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bronxcare Dr. Martin Luther King Jr. Health Center?
- Bronxcare Dr. Martin Luther King Jr. Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Bronxcare Dr. Martin Luther King Jr. Health Center located?
- Bronxcare Dr. Martin Luther King Jr. Health Center's practice location on file with NPPES is 961 E 174th St, Bronx, NY 10460-5060.
- What is Bronxcare Dr. Martin Luther King Jr. Health Center's phone number?
- The practice phone number listed in the NPPES registry for Bronxcare Dr. Martin Luther King Jr. Health Center is (718) 992-7669.
- Does Bronxcare Dr. Martin Luther King Jr. Health Center accept Medicare?
- Bronxcare Dr. Martin Luther King Jr. Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bronxcare Dr. Martin Luther King Jr. Health Center?
- The authorized official listed on Bronxcare Dr. Martin Luther King Jr. Health Center's NPPES record is Victor Demarco, Svp Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bronxcare Dr. Martin Luther King Jr. Health Center's NPI active?
- Yes — Bronxcare Dr. Martin Luther King Jr. Health Center's NPI (1073811485) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.