Healthcare Provider Details

I. General information

NPI: 1285559542
Provider Name (Legal Business Name): ONE CARE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

497 E 138TH ST
BRONX NY
10454-3066
US

IV. Provider business mailing address

497 E 138TH ST
BRONX NY
10454-3066
US

V. Phone/Fax

Practice location:
  • Phone: 347-940-4073
  • Fax: 718-471-3863
Mailing address:
  • Phone: 347-940-4073
  • Fax: 718-471-3863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LOUIS
Title or Position: OWNER
Credential:
Phone: 347-526-6968