Individual provider Active NPI

Beatriz Sotelo, MD

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1417954231
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
297041 Issued in NY
Practice address
2265 3Rd Ave
New York, NY 10035
Phone
(212) 289-6650
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 297041 NY Primary

Addresses

Primary practice location

2265 3Rd Ave
New York, NY 10035

Mailing address

2360 Amsterdam Ave Apt 3C
New York, NY 10033-7363
Phone (352) 552-6483

Other practice location 1

225 N 1st St
Leesburg, FL 34748-5150
Phone (407) 905-8827

Other identifiers 2

IdentifierTypeStateIssuer
05562134MedicaidNY
297041OtherNYNY LICENSE

Other names 1

  • Beatriz Trinidad Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002252 NY Practitioner - Pediatric Medicine 1850611617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc Current Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Nov 4, 2024 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Nov 4, 2024 Accepting new patients
Ryan-Chelsea Clinton Community Health Center Past Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

110 W 97th St
#0
New York, NY 10025

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1417954231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 AMSTERDAM AVE APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337363",
            "telephone_number": "352-552-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-289-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485150",
            "country_code": "US",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "BEATRIZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "297041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05562134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "297041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRIZ",
            "last_name": "TRINIDAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.