Organization Active NPI

Diego Escobar MD, PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1306178421
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236217 Issued in NY
Legal business name
DIEGO ESCOBAR MD, PC
Practice address
320 E 46TH St
Apt 20-G
New York, NY 10017-3042
Phone
(646) 265-7865
Fax
(201) 288-7801
NPI assigned
Feb 1, 2010
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Diego Escobar, MD
Title
Owner
Phone
(646) 265-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236217 NY Primary

Addresses

Primary practice location

320 E 46TH St
Apt 20-G
New York, NY 10017-3042

Mailing address

320 E 46TH St
Apt 20-G
New York, NY 10017-3042
Phone (646) 265-7865

Other identifiers 1

IdentifierTypeStateIssuer
236217OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1306178421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 46TH ST",
            "address_2": "APT 20-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173042",
            "telephone_number": "646-265-7865",
            "fax_number": "201-288-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 46TH ST",
            "address_2": "APT 20-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173042",
            "telephone_number": "646-265-7865",
            "fax_number": "201-288-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO ESCOBAR MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-265-7865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "236217",
            "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 Feb 1, 2010; 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.