Individual provider Active NPI

Cesar T Villaflor, MD

  • Pediatrics Physician
  • Fishkill, NY
National Provider Identifier
1447368246
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
219299 Issued in NY
Practice address
200 Westage Business Ctr Dr Ste 111
Fishkill, NY 12524-2265
Phone
(845) 896-0008
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 219299 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 111
Fishkill, NY 12524-2265

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 896-4505

Other identifiers 1

IdentifierTypeStateIssuer
02195435MedicaidNY

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
I20081119000046 NY Practitioner - Pediatric Medicine 9537229687 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219299NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jul 1, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jul 1, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Oct 1, 2022 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 111
Fishkill, NY 12524
Phone (845) 896-4505

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

1 Webster Ave
Ste 302
Poughkeepsie, NY 12601
Phone (845) 454-4200

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cesar.villaflorjr.p1@direct.cwpw.nextgenshare.com

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1447368246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-896-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 111",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242265",
            "telephone_number": "845-896-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFLOR",
        "first_name": "CESAR",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "219299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.