Active NPI
Jose Escueta Quiwa, M.D.
- Pediatric Adolescent Medicine Physician
- Rego Park, NY
National Provider Identifier
1306816103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 170227
- Practice address
- 8502 66TH Rd
Rego Park, NY 11374-5212 - Phone
- (718) 426-5202
- Fax
- (718) 897-2874
- NPI assigned
- Jan 24, 2006
- Last updated
- Dec 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 170227 | NY | Primary |
Addresses
Primary practice location
8502 66TH Rd
Rego Park, NY 11374-5212
Mailing address
8502 66TH Rd
Rego Park, NY 11374-5212
Phone (718) 426-5202
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290890101 | Other | NY | HEALTHPLUS |
| 2C7160 | Other | NY | HEALTHNET/ACS |
| 40426017707 | Other | NY | FIDELISCARE |
| 49143 | Other | NY | MDNY |
| 29344P | Other | NY | HIP |
| 01021732 | Medicaid | NY | |
| 113254834 | Other | NY | MAGNACARE |
| 120550 | Other | NY | UNITED HEALTHCARE(MED). |
| 113254834 | Other | NY | UNITED HEALTHCARE |
| 3663457-001 | Other | NY | CIGNA |
| 471Z61 | Other | NY | BC/BS |
| 0014346 | Other | NY | GHI |
| 113254834 | Other | NY | HORIZON |
| DP327 | Other | NY | OXFORD |
| 113254834 | Other | NM | CARE PLUS |
| 113254834 | Other | NY | 1199 |
| 4235224 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170227 | NY | MD | Pediatric Adolescent Medicine Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJGIAA/Endpoint/GJGIAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1306816103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8502 66TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745212",
"telephone_number": "718-426-5202",
"fax_number": "718-897-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8502 66TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745212",
"telephone_number": "718-426-5202",
"fax_number": "718-897-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIWA",
"first_name": "JOSE",
"middle_name": "ESCUETA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "170227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "290890101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ACS",
"identifier": "2C7160",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELISCARE",
"identifier": "40426017707",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "49143",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "29344P",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01021732",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "113254834",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE(MED).",
"identifier": "120550",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "113254834",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3663457-001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "471Z61",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0014346",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "113254834",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DP327",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS",
"identifier": "113254834",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "113254834",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4235224",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.