Juan Carlos Espinoza, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

224588-1 Issued in NY

Practice address

27 Wicks Rd
Brentwood, NY 11717-4213

Phone

(631) 231-5070

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: juan.espinoza@bpaa.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BJDFBA/Endpoint/BJDFBA

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.

• Brentwood Pediatric & Adolescent Associates, PC

  • Pediatric Adolescent Medicine Physician
  • Bay Shore, NY
  • NPI 1578753075
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114097607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 OLD TOWN RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332604",
            "telephone_number": "631-689-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WICKS RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174213",
            "telephone_number": "631-231-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "224588-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02282364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epps Therapeutic Partners Co.
• Brianna Erario
• Edgar Escobar, LMSW
• Andrew Espinosa
• Boris Espinoza, M.D.
• Marie Fabienne Etienne
• Excel Homecare, Inc.
• Family Dental of Brentwood PC
• Family Medical Care of Ny P.C.
• Khalilah Crease Farmer, LPN

• Pediatric Adolescent Medicine Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.