MEDICARE: BRONXCARE HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1073858296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONXCARE HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	1276 FULTON AVE RM 208
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3467
Country	:	US
Telephone Number	:	718-901-8918
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457
Country	:	US
Telephone Number	:	718-901-8918
Fax Number	:

Authorized Official
Title or Position	:	CFO/SVP
Name	:	VICTOR GEORGE DEMARCO
Credential	:
Telephone Number	:	718-901-8600

Provider Enumeration Date	:	11/28/2012
Last Update Date	:	02/05/2026

Similar Medicare Providers

1467266460 — KATHERINE KUPTZ MS, RN, CPNP-PC, DNP
Practice Location Address:

1650 GRAND CONCOURSE
BRONX, NY
10457-7679

Practice Phone: 718-992-7669
Practice Fax:

1629538244 — KRANTHI KUMAR GOURAVARAM DO
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2545

Practice Phone: 718-960-9000
Practice Fax:

1326148669 — ST. BARNABAS HOSPITAL
Practice Location Address:

4451 THIRD AVENUE , ST. BARNABAS HOSPITAL
BRONX, NY
10457-2545

Practice Phone: 718-960-3867
Practice Fax: 718-960-6465

1427044718 — EDWIN YOUNG KO M.D.
Practice Location Address:

1650 GRAND CONCOURSE
BRONX, NY
10457-7679

Practice Phone: 718-992-7669
Practice Fax:

1740131077 — RAQUEL DIAZ CASAC
Practice Location Address:

1776 CLAY AVE
BRONX, NY
10457-7299

Practice Phone: 718-960-7522
Practice Fax: 718-583-6439

1730030735 — CARLOS REAL CASAC II
Practice Location Address:

1776 CLAY AVE
BRONX, NY
10457-7299

Practice Phone: 718-960-7522
Practice Fax: 718-583-6439

Directions to “BRONXCARE HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.