Organization Active NPI

Citiview Family Medical, PLLC

  • Family Medicine Physician
  • Sunnyside, NY
National Provider Identifier
1013143155
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
221341 Issued in NY
Legal business name
CITIVIEW FAMILY MEDICAL, PLLC
Practice address
4132 44TH St
1St Floor
Sunnyside, NY 11104-2203
Phone
(347) 832-0192
Fax
(347) 242-2765
NPI assigned
Jun 3, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Hermann Escobar, D.O.
Title
Physician/Owner
Phone
(347) 832-0192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 221341 NY Primary

Addresses

Primary practice location

4132 44TH St
1St Floor
Sunnyside, NY 11104-2203

Mailing address

4132 44TH St
1St Floor
Sunnyside, NY 11104-2203
Phone (347) 832-0192

Other identifiers 4

IdentifierTypeStateIssuer
1366782OtherNYCIGNA
H51169OtherNYUPIN
38V231OtherNYMEDICARE
46V69OtherNYEMPIRE BCBS

Other names 1

  • Hermann Escobar Other name

National Provider Directory

National Provider Directory

Locations

2804 31st St
Astoria, NY 11102
Phone (347) 832-0192

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1013143155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 44TH ST",
            "address_2": "1ST FLOOR",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042203",
            "telephone_number": "347-832-0192",
            "fax_number": "347-242-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 44TH ST",
            "address_2": "1ST FLOOR",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042203",
            "telephone_number": "347-832-0192",
            "fax_number": "347-242-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIVIEW FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "HERMANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "347-832-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "221341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1366782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H51169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "38V231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "46V69",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermann Escobar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.