Active NPI
Jesus Raphael Esquivel, DPT, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P130445
- Practice address
- 883 65TH St
Brooklyn, NY 11220-4737 - Phone
- (682) 266-1200
- NPI assigned
- Aug 27, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P130445 | NY | Primary |
Addresses
Primary practice location
883 65TH St
Brooklyn, NY 11220-4737
Mailing address
650 Crown St Apt 3I
Brooklyn, NY 11213-5342
Phone (682) 266-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone (718) 283-8962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P130445 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Bone and Joint Faculty Practice Physical Therapy | Current | Accepting new patients | |
| Maimonides Medical Center Orthopaedic FPP | Past | Accepting new patients |
Locations
883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367
6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100
4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1609431576
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1073943163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1033943600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CROWN ST APT 3I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112135342",
"telephone_number": "682-266-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "883 65TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204737",
"telephone_number": "682-266-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIVEL",
"first_name": "JESUS",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P130445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.