Active NPI
Juan M Horta-Santini, M.D.
- Ophthalmology Physician
- Corona, NY
National Provider Identifier
1427243328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 266984
- Practice address
- 10005 Roosevelt Ave Ste 202
Corona, NY 11368-4880 - Phone
- (917) 832-7557
- Fax
- (917) 832-7503
- NPI assigned
- Sep 13, 2007
- Last updated
- Jan 23, 2023
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 266984 | NY | Primary |
Addresses
Primary practice location
10005 Roosevelt Ave Ste 202
Corona, NY 11368-4880
Mailing address
100-05 Roosevelt Ave
Suite 202
Corona, NY 11368
Phone (917) 832-7557
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03524292 | Medicaid | NY | |
| 266984 | Other | NY | LICENSE |
| G300546743 | Medicaid | NY | |
| G400743584 | Medicaid | NY |
Other names 1
- Dr. Juan M. Horta-Santini
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Puerto Rico School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10005 Roosevelt Ave
Suite 202
Corona, NY 11368-4880
Phone (917) 832-7557
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266984 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Specialist of Queens PLLC | Current | Accepting new patients |
Locations
10005 Roosevelt Ave
Ste 202
Corona, NY 11368
Phone (718) 803-6430
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jhs@drhortasantini.direct.eyemdemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmologic Surgery Clinic/Center
- Corona, NY
- NPI 1033712567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1427243328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100-05 ROOSEVELT AVE",
"address_2": "SUITE 202",
"city": "CORONA",
"state": "NY",
"postal_code": "11368",
"telephone_number": "917-832-7557",
"fax_number": "917-832-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 ROOSEVELT AVE STE 202",
"city": "CORONA",
"state": "NY",
"postal_code": "113684880",
"telephone_number": "917-832-7557",
"fax_number": "917-832-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTA-SANTINI",
"first_name": "JUAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2023-01-23",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "266984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03524292",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "266984",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G300546743",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G400743584",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUAN",
"last_name": "HORTA-SANTINI",
"middle_name": "M.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.