Active NPI
Beatriz Sotelo, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1417954231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 297041
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05562134 | Medicaid | NY | |
| 297041 | Other | NY | NY LICENSE |
Other names 1
- Beatriz Trinidad
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1013360528
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1215978960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.