Healthcare Provider Details

I. General information

NPI: 1578449443
Provider Name (Legal Business Name): CONSTANCE RIPPEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 09/18/2026
Certification Date:
Deactivation Date: 04/30/2026
Reactivation Date: 09/18/2026

III. Provider practice location address

MONTEFIORE MEDICAL CENTER 111 E 210 ST
BRONX NY
10467
US

IV. Provider business mailing address

MONTEFIORE MEDICAL CENTER 111 E 210 ST. ANESTHESIOLOGY
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4316
  • Fax: 718-881-2245
Mailing address:
  • Phone: 718-920-4316
  • Fax: 718-881-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number343699
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: