Dr. Michel Bornacelly Perez
Family Medicine

Address: 1276 Fulton Ave, Bronx, NY 10456-3402
Phone: 3473246151

Dr. Michel Bornacelly Perez (NPI# 1831354265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831354265
Entity Type Individual
Full Name Dr. Michel Bornacelly Perez
Credential M.D.
Gender Male
Practice Address 1276 Fulton Ave
Bronx
NY 10456-3402
Practice Telephone 3473246151
Mailing Address 5114 Woodford Dr
Centreville
VA 20120-1388
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-07-24
Last Update Date 2016-07-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 263642 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 263642 OTHER STATE LICENSE
VA 0101259211 OTHER STATE LICENSE

Physician Overview

NPI 1831354265
PAC ID by PECOS 0042476145
Professional Enrollment ID I20160816002177
Full Name Michel Bornacelly Perez
Organization Legal Name INOVA PHYSICIAN PARTNERS INC
Phone Number 5403387116
Gender M
Graduation Year 2000
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 2466581772
Number of Group Practice Members 91
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490113 SENTARA NORTHERN VIRGINIA MEDICAL CENTER

Office Location

Street Address 1276 FULTON AVE
City BRONX
State NY
Zip Code 10456-3402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881672038 John Douglas Reich Family Medicine 1276 Fulton Ave, 4th Floor, Bronx, NY 10456-3402 2006-01-06
1912480500 Shana Grover Psychologist 1276 Fulton Ave, Bronx, NY 10456-3402 2018-09-11
1720568298 Alicia Oliver Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-08-15
1417436866 Bushra Abdullah Dakhilallah Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-08-07
1851886295 Sarah Ariana Albert Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-28
1942795356 Luz Maria Quezada Silva Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3499 2018-06-27
1356836019 Annette Deutscher Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-26
1083109706 Puja Jain Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-25
1740774041 Rashmi Bhuyan Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-20
1336633858 James Patrick Newman II Student in an Organized Health Care Education/Training Program 1276 Fulton Ave, Bronx, NY 10456-3402 2018-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619431574 Soroush Pakniyat-jahromi Student in an Organized Health Care Education/Training Program 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 2019-01-24
1548745078 Danielle Renee O'reggio Nurse Practitioner 1210 Webster Ave, Bronx, NY 10456 2018-10-01
1780183194 Alicia Joo Social Worker 1265 Franklin Avenue, 3rd Floor, Dr. Martin Luther King, Jr. Health Center, Bronx, NY 10456 2018-02-12
1154830537 Renee Lucette Mills Counselor 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 2017-09-28
1487177572 Webster Urgent Care, P.C. Clinic/Center 1210 Webster Avenue, Bronx, NY 10456 2017-07-20
1508395864 Cheryl Roxann Camp Counselor 530 East 169th Street, Apt. 10e, Bronx, NY 10456 2017-06-08
1336683465 Lorraine Dukes Health Educator 778 Forest Ave., P17x, Bronx, NY 10456 2016-12-08
1316316789 Balance Medical Professional Primary Services Pllc Family Medicine 1150 Webster Ave., Bronx, NY 10456 2015-09-16
1740658426 1150 Webster Pharmacy Pharmacy 1150 Webster Avenue, Bronx, NY 10456 2015-09-11
1124402557 Ivelisse M Ramirez Licensed Practical Nurse 759 Eagle Ave, 3c, Bronx, NY 10456 2015-07-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700337508 Mayte Montufar Family Medicine 2136 Muliner Ave Fl 1, Bronx, NY 10462-2003 2016-10-18
1306296561 Stephen Asiedu Medical Practice, P.C. Family Medicine 1245b Edward L Grant Hwy, Bronx, NY 10452-3101 2016-06-20
1811350242 Jenna Medical Office PC Family Medicine 2742 Third Avenue, Bronx, NY 10455 2016-04-02
1083082960 Fordham Medical PC Family Medicine 2430 Davidson Ave Fl 2, Bronx, NY 10468-6364 2015-09-09
1235542549 Welisane Bebe Family Medicine 1276 Fulton Ave, 4th Floor, Bronx Lebanon Hospital, Bronx, NY 10456 2014-06-04
1629413372 Liliana Monica Taich Family Medicine 3050 Corlear Ave Ste 201, Bronx, NY 10463-5181 2013-05-08
1184968232 Lwhmedical PC Family Medicine 1811 Hone Ave, Bronx, NY 10461-1406 2012-11-15
1649526674 Maritza Jasmine Jerome Family Medicine 1603 Hobart Ave, Apt 2d, Bronx, NY 10461-5209 2012-07-27
1003178732 Allison Kathleen Paul Family Medicine 1 Fordham Plz Fl 5, Bronx, NY 10458-5871 2012-06-08
1013280502 Tremont Quality Medical Care P.C. Family Medicine 593 East Tremont Ave, Bronx, NY 10457-4727 2012-02-15
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10456

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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