Julio Cesar Pacheco Jr., M.A., B.E.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1186207 Issued in NY

Practice address

2510 Westchester Ave
Suite 102
Bronx, NY 10461-3512

Phone

(718) 597-5558

Fax

(718) 823-5494

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theracare

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1063775310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1003178369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAMANTHA WAY",
            "address_2": "FLOOR 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652951",
            "telephone_number": "551-265-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "SUITE 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613512",
            "telephone_number": "718-597-5558",
            "fax_number": "718-823-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., B.E.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1186207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Pacheco Borrero, MSW
• Arlene Maria Pacheco-Melendez, MSW
• Denae Genesis Pacheco, OT
• Jennifer L Pacheco
• Jinah Choi Pacheco
• Ketty Carmen Pacheco
• Yesenia Pacheco, LMSW
• Jaime Pachesa, ATC
• Talia Pachter
• Jessica Pacifico

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.