Yandresco Quintana, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

057383 Issued in NY

Practice address

651 W 180TH St Ste 1
New York, NY 10033-4802

Phone

(212) 927-0565

Fax

(212) 812-3239

NPI assigned

Jun 16, 2008

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Yandresco Quintana DDS PC

  dba New Heights Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
  • NPI 1073059283
  Medicare reassignment NPD Authorized official
• 3545 Johnson Blvd Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1124759527
  Medicare reassignment NPD
• 43 Chruch Street Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1356097869
  Medicare reassignment NPD
• Alejandro Williams Dental Office PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1508037466
  Medicare reassignment NPD
• Bonita Sonrisa Dental Mso

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1790325884
  Medicare reassignment NPD
• Spore Test Inc

  • Dentist
  • Bronx, NY
  • NPI 1902533342
  Medicare reassignment NPD
• Bonita Sonrisa Dental Ipa

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1700343233
  NPD
• The New York and Presbyterian Hospital

  dba NewYork-Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1114187762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "212-927-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "212-927-0565",
            "fax_number": "212-812-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "YANDRESCO",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057383",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "276236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04345231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greta Quintana Chao
• Adelle T Quintana, MD
• Anna Quintana
• Asante Reymon Quintana, MD
• Bryttany Michelle Quintana
• Ivan Quintanar Smith, MD
• Hilda Quintanilla, NP
• Madison Quintanilla
• Olivia Quintanilla
• Jennifer Lee Quinter, MD

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.

Verify at the official NPI Registry.