Dr. Alexander Charles Small , MD
Urology • Bronx, NY
1250 Waters Place, Montefiore Dept Of Urology, Tower 2, 9th Floor
Bronx, NY 10461
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 27, 2013; this date does not establish years in practice.
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Published CMS data list 441 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 127 service units.
- 99214 — Established patient outpatient office visit: 88 service units.
- 99213 — Established patient outpatient office visit: 57 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 550 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 201 prescription fills, including refills.
- Finasteride — 117 prescription fills, including refills.
- Myrbetriq (Mirabegron) — 85 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Urology in Bronx, NY (2024, 25 clinicians with data). Median for this group: 263. Middle half: 171 to 619.
Fewer Medicare Part B services than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: 1,005. Middle half: 436 to 3,529.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 14 in 2020 to 441 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1250 Waters Place
Montefiore Dept Of Urology, Tower 2, 9th Floor
Bronx, NY 10461
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Montefiore Medical Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
151 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $40,404 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $30,980 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,334 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$116,632 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,372.10 across 17 records.
By nature of payment
- Food and Beverage: $1,372.10 across 17 records.
Reporting-company totals (3 largest of 5)
- Calyxo, Inc.: $732.29 across 7 records.
- COLOPLAST CORP: $317.24 across 4 records.
- Medtronic, Inc.: $247.92 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Small has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Small as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bronx and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Urology in Bronx, NY (2024, 25 clinicians with data). Median for this group: 263. Middle half: 171 to 619.
Fewer Medicare Part B services than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: 1,005. Middle half: 436 to 3,529.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Urology in Bronx, NY (2024, 25 clinicians with data). Median for this group: $26,347. Middle half: $8,729 to $53,000.
A lower Medicare-allowed amount than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: $101,180. Middle half: $38,168 to $249,781.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Urology in Bronx, NY (2024, 25 clinicians with data). Median for this group: $19,742. Middle half: $6,211 to $39,237.
A lower Medicare payment amount than 70% of clinicians listed under Urology in New York (2024, 677 clinicians with data). Median for this group: $75,481. Middle half: $28,363 to $187,263.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Bronx, NY (2024, 29 clinicians with data). Median for this group: 737. Middle half: 252 to 1,581.
Fewer Part D prescriptions than 60% of clinicians listed under Urology in New York (2024, 745 clinicians with data). Median for this group: 913. Middle half: 216 to 1,942.
Part D drug cost
Close to the middle for clinicians listed under Urology in Bronx, NY (2024, 29 clinicians with data). Median for this group: $61,911. Middle half: $7,954 to $411,960.
Close to the middle for clinicians listed under Urology in New York (2024, 745 clinicians with data). Median for this group: $79,790. Middle half: $12,830 to $271,371.
41 active clinicians are listed under Urology with a practice address in Bronx, NY (1,091 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bronx
24.4% of these 41 clinicians have the CMS telehealth indicator.
56.1% of these 41 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 14 in 2020 to 441 in 2024.
- 2020: 14
- 2021: 116
- 2022: 229
- 2023: 149
- 2024: 441
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Medicare-allowed amount
Medicare-allowed amount went from $859 in 2020 to $40,404 in 2024.
- 2020: $859
- 2021: $9,893
- 2022: $30,344
- 2023: $13,717
- 2024: $40,404
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Paid by Medicare
Paid by Medicare went from $687 in 2020 to $30,980 in 2024.
- 2020: $687
- 2021: $7,722
- 2022: $23,469
- 2023: $10,361
- 2024: $30,980
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 304% from 136 in 2020 to 550 in 2024.
- 2020: 136
- 2021: 252
- 2022: 454
- 2023: 528
- 2024: 550
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30-day fills
30-day fills increased 363% from 288 in 2020 to 1,334 in 2024.
- 2020: 288
- 2021: 509
- 2022: 1,010
- 2023: 1,225
- 2024: 1,334
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Part D drug cost
Part D drug cost increased 210% from $37,587 in 2020 to $116,632 in 2024.
- 2020: $37,587
- 2021: $38,230
- 2022: $76,021
- 2023: $113,068
- 2024: $116,632
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 37% from $2,161.23 in 2021 to $1,372.10 in 2025.
- 2021: $2,161.23
- 2022: $7,281.50
- 2023: $3,647.40
- 2024: $17,338.02
- 2025: $1,372.10
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 17 records totaling $1,372.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $160.11 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $150.92 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $125.92 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $122.70 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $120.67 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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Coloplast TFL Drive | General | $104.21 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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— | General | $103.72 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $100.01 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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Coloplast TFL Drive | General | $89.31 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $72.73 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $53.00 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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— | General | $44.00 |
| Calyxo, Inc. |
Food and Beverage
In-kind items and services
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CVAC ASPIRATION SYSTEM | General | $30.15 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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GIVLAARI | General | $28.46 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rivfloza | General | $24.58 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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GIVLAARI | General | $21.61 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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— | General | $20.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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127 | 96 | $94.76 | $18.25 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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88 | 65 | $505.00 | $108.25 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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57 | 52 | $400.00 | $73.62 |
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74420
Imaging of urinary tract following injection of a contrast agent
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45 | 37 | $201.33 | $26.39 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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22 | 19 | $1830.00 | $91.00 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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21 | 21 | $835.71 | $151.23 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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18 | 16 | $4585.00 | $441.69 |
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52332
Insertion of stent in ureter using an endoscope
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15 | 13 | $2550.00 | $146.59 |
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52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
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13 | 13 | $2975.00 | $171.39 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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13 | 11 | $535.00 | $87.52 |
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52352
Removal or manipulation of stone in ureter or kidney using an endoscope
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11 | 11 | $6185.00 | $261.45 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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11 | 11 | $1142.15 | $146.15 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 201 | 16,477 | $3,807.73 | 79 |
| Finasteride | Finasteride | 117 | 10,009 | $1,109.88 | 45 |
| Myrbetriq | Mirabegron | 85 | 4,890 | $68,819.95 | 26 |
| Potassium Citrate Er | Potassium Citrate | 42 | 3,435 | $5,440.56 | 19 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 26 | 239 | $359.15 | 19 |
| Gemtesa | Vibegron | 23 | 1,590 | $24,327.74 | 13 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 117 | $45.82 | 15 |
| Solifenacin Succinate | Solifenacin Succinate | 15 | 870 | $1,095.68 | — |
| Mirabegron Er | Mirabegron | 14 | 1,140 | $11,277.36 | — |
| Cefpodoxime Proxetil | Cefpodoxime Proxetil | 11 | 96 | $347.78 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-24NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20191204001142
NY
2567709025
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Montefiore Medical Center
111 E 210th St, Bronx, NY 104672401
Phone: 8666338255
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology - Female Pelvic Medicine and Reconstructive Surgery
Doctor of Medicine (M.D.)
Urology
Doctor of Osteopathic Medicine (D.O.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1250 WATERS PLACE, MONTEFIORE DEPT OF UROLOGY, TOWER 2, 9TH FLOOR, BRONX, NY 10461 (Tel: 7189204531)
Registered at 1250 WATERS PLACE, MONTEFIORE DEPT OF UROLOGY, TOWER 1, PENTHOUSE, BRONX, NY 10461 (Tel: 7189204531)
Urology (license number reported to NPPES: NY 297515)
NPI status registered as active in NPPES database
Registered at 177 FT WASHINGTN AVE, 7GS, ROOM 313, NEW YORK, NY 100323733 (Tel: 2123053038)
Registered at 64 W 108TH ST, APT. 4C, NEW YORK, NY 100253239 (Tel: 2032092248)
Recorded as ALEXANDER SMALL, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Bronx
- Dr. Raphael Novogrodsky, MD
- Dr. Sapan Polepalle, MD
- Dr. Erin Ohmann, MD
- Dr. Izak Faiena, MD
- Dr. Norman Kahan, MD
- Dr. Jonathan Fleischmann, MD
Mailing Address
1250 Waters Place, Montefiore Dept Of Urology, Tower 1, Penthouse
Bronx, NY 10461
Phone: 7189204531