Individual provider Active NPI

Satecha Latoya Defreitas-Lindsay, P.A.

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1083916324
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07691 Issued in MD
Practice address
111 E 210TH St
Montefiore Medical Center
Bronx, NY 10467-2401
Phone
(718) 920-8958
Fax
(718) 798-7825
NPI assigned
Nov 18, 2010
Last updated
Nov 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014348 NY
Physician Assistant 363A00000X C07691 MD Primary

Addresses

Primary practice location

111 E 210TH St
Montefiore Medical Center
Bronx, NY 10467-2401

Mailing address

871 Lafayette Ave
Brooklyn, NY 11221-1901
Phone (718) 791-3548

Other names 1

  • Satecha Defreitas Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000629 NY Practitioner - Physician Assistant 1658553375 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014348NYMDSpeech-Language Pathologist
C07691MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince May 17, 2020 Accepting new patients
Montefiore Medical Center CurrentSince May 17, 2020 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1083916324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 LAFAYETTE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211901",
            "telephone_number": "718-791-3548",
            "fax_number": "718-798-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "MONTEFIORE MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-8958",
            "fax_number": "718-798-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS-LINDSAY",
        "first_name": "SATECHA",
        "middle_name": "LATOYA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014348",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SATECHA",
            "last_name": "DEFREITAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.