Active NPI
Estela De Los Angeles Noyola, D.O.
- Pediatrics Physician
- Mineola, NY
National Provider Identifier
1023453107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 284391
- Practice address
- 259 1St St Dept of
Mineola, NY 11501-3957 - Phone
- (516) 663-2288
- Fax
- (516) 663-8955
- NPI assigned
- May 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 284391 | NY | Primary |
Addresses
Primary practice location
259 1St St Dept of
Mineola, NY 11501-3957
Mailing address
259 First Street
Department of Pediatrics
Mineola, NY 11501
Phone (516) 663-2288
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | enoyola239169@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Pediatrics | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- enoyola239169@nyumc.direct-ci.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1023453107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 FIRST STREET",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-663-2288",
"fax_number": "516-663-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST DEPT OF",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2288",
"fax_number": "516-663-8955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYOLA",
"first_name": "ESTELA",
"middle_name": "DE LOS ANGELES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "284391",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "enoyola239169@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "259 1st St Dept Of",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115013957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.