Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bronx Park Medical Surgical Associates PC

Organization Surgery Physician · NPI 1043410269

Bronx Park Medical Surgical Associates PC provides Surgery Physician services in Bronx, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2016 Bronxdale Ave Ste 202
Bronx, NY 10462-3388 Not confirmed with CMS for 19 years — call before visiting
Phone: (718) 863-8695
Fax: (718) 863-5147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1043410269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Dirusso — President · (718) 960-6126
NPI enumeratedJuly 25, 2007
Last updated in NPPESJuly 25, 2007
Mailing address2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388

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