Bronx Borough Medical Practice PC
NPI 1124590641 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Bronx, NY
Bronx Borough Medical Practice PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Bronx, NY (NPI 1124590641).
Provider details
- NPI number
- 1124590641
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mack Sullivan, Owner(914) 395-3691
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Registry dates
- Enumerated
- 2018-12-21
- Last updated
- 2018-12-21
Frequently asked questions
- What is Bronx Borough Medical Practice PC's NPI number?
- Bronx Borough Medical Practice PC's National Provider Identifier (NPI) is 1124590641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bronx Borough Medical Practice PC?
- Bronx Borough Medical Practice PC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Bronx Borough Medical Practice PC located?
- Bronx Borough Medical Practice PC's practice location on file with NPPES is 2494 Williamsbridge Rd, Bronx, NY 10469-4806.
- What is Bronx Borough Medical Practice PC's phone number?
- The practice phone number listed in the NPPES registry for Bronx Borough Medical Practice PC is (914) 395-3691.
- Who is the authorized official for Bronx Borough Medical Practice PC?
- The authorized official listed on Bronx Borough Medical Practice PC's NPPES record is Mack Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bronx Borough Medical Practice PC's NPI active?
- Yes — Bronx Borough Medical Practice PC's NPI (1124590641) is active in the NPPES registry as of the last update on 2018-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.