Active NPI
Emmanuel Diaz Guerrero, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1275938482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 281405
- Practice address
- 705 E 180TH St
Bronx, NY 10457-3601 - Phone
- (718) 220-0507
- Fax
- (718) 220-8419
- NPI assigned
- Oct 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 281405 | NY | Primary |
| Children's Hospital | 282NC2000X |
Addresses
Primary practice location
705 E 180TH St
Bronx, NY 10457-3601
Mailing address
705 E 180TH St
Bronx, NY 10457-3601
Phone (718) 220-0507
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 281405 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 181St Street Medical P.C. | Pediatrics | Current | Accepting new patients |
| Audubon Primary Care Medicine PLLC | Current | Accepting new patients | |
| Pediatrics & OB/GYN of Ny PC | Pediatrics | Current | Accepting new patients |
| Sun River Health Inc | Current | Accepting new patients | |
| First Step Pediatrics, P. C. | Past | Accepting new patients | |
| First Step Medical, P C | Pediatrics | Past | Accepting new patients |
| St. John'S Riverside Hospital | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1148 E Tremont Ave
Bronx, NY 10460
Phone 7183783438 ext. 7718
325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679
521 W 181st St
New York, NY 10033
Phone (347) 756-6000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJFDCD
Organizations & group practices 7
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1851736441
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Pediatrics Physician
- Yonkers, NY
- NPI 1194657049
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1477914349
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1275938482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E 180TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104573601",
"telephone_number": "718-220-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E 180TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104573601",
"telephone_number": "718-220-0507",
"fax_number": "718-220-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ GUERRERO",
"first_name": "EMMANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "281405",
"primary": true
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.