Individual provider Active NPI

Elmer Cesar Arteaga, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1477623882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
192323 Issued in NY
Practice address
3201 Grand Concourse Ave
Suite 2M
Bronx, NY 10468-1226
Phone
(718) 220-4442
Fax
(718) 220-4546
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 192323 NY Primary

Addresses

Primary practice location

3201 Grand Concourse Ave
Suite 2M
Bronx, NY 10468-1226

Mailing address

3201 Grand Concourse Ave
Suite 2M
Bronx, NY 10468-1226
Phone (718) 220-4442

Other identifiers 1

IdentifierTypeStateIssuer
01567537MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192323NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elmer Arteaga Medical PC Pediatrics Past Accepting new patients

Networks

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

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477623882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE AVE",
            "address_2": "SUITE 2M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681226",
            "telephone_number": "718-220-4442",
            "fax_number": "718-220-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRAND CONCOURSE AVE",
            "address_2": "SUITE 2M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681226",
            "telephone_number": "718-220-4442",
            "fax_number": "718-220-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA",
        "first_name": "ELMER",
        "middle_name": "CESAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "192323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01567537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.