Active NPI
Roland Joseph Figueredo, M.D
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1093825945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 119118
- Practice address
- 515 Audubon Ave
New York, NY 10040-3403 - Phone
- (917) 513-9279
- Fax
- (914) 346-5176
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 119118 | NY | Primary |
Addresses
Primary practice location
515 Audubon Ave
New York, NY 10040-3403
Mailing address
420 E 72ND St
17E
New York, NY 10021-4650
Phone (914) 346-5175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00222775 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119118 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roland J. Figueredo | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- New York, NY
- NPI 1568500478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1093825945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 72ND ST",
"address_2": "17E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214650",
"telephone_number": "914-346-5175",
"fax_number": "914-346-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 AUDUBON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100403403",
"telephone_number": "917-513-9279",
"fax_number": "914-346-5176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIGUEREDO",
"first_name": "ROLAND",
"middle_name": "JOSEPH",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "119118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00222775",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 6, 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.