Individual provider Active NPI

Jorge Villard, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1093027005
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
119821 Issued in NY
Practice address
353 E 83Rd St
Apt. 10H
New York, NY 10028-4337
Phone
(212) 734-6400
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 119821 NY Primary

Addresses

Primary practice location

353 E 83Rd St
Apt. 10H
New York, NY 10028-4337

Mailing address

353 E 83Rd St
Apt. 10H
New York, NY 10028-4337
Phone (212) 734-6400

Other names 1

  • Jorge Augusto Villar Cortes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
119821NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1093027005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E 83RD ST",
            "address_2": "APT. 10H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284337",
            "telephone_number": "212-734-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 83RD ST",
            "address_2": "APT. 10H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284337",
            "telephone_number": "212-734-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "119821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "VILLAR CORTES",
            "middle_name": "AUGUSTO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.