Active NPI
Jonathan Horwitz, M.D
- Pediatrics Physician
- Bayside, NY
National Provider Identifier
1114024767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 121535
- Practice address
- 2325 Bell Blvd
Bayside, NY 11360-2056 - Phone
- (718) 225-6464
- NPI assigned
- Sep 17, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 121535 | NY | Primary |
Addresses
Primary practice location
2325 Bell Blvd
Bayside, NY 11360-2056
Mailing address
2325 Bell Blvd
Bayside, NY 11360-2056
Phone (718) 225-6464
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017002021 | NY | Order and Referring Only - Pediatric Medicine | 9133340052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121535 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114024767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602056",
"telephone_number": "718-225-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602056",
"telephone_number": "718-225-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORWITZ",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "121535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.