Individual provider Active NPI

Juan M Horta-Santini, M.D.

  • Ophthalmology Physician
  • Corona, NY
National Provider Identifier
1427243328
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266984 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03524292MedicaidNY
266984OtherNYLICENSE
G300546743MedicaidNY
G400743584MedicaidNY

Other names 1

  • Dr. Juan M. Horta-Santini Professional 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
I20121206000358 NY Practitioner - Ophthalmology 5092993568 Reassigns benefits to 1 organization
Practice locations: Corona, NY

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

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266984NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Specialist of Queens PLLC CurrentSince Nov 4, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.