Organization Active NPI

Francisco Bautista, M.D., P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1477670735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
171183 Issued in NY
Legal business name
FRANCISCO BAUTISTA, M.D., P.C.
Practice address
601 W 177TH St Apt 1
New York, NY 10033-7152
Phone
(212) 923-0559
Fax
(212) 740-4930
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Francisco D Bautista, M.D.
Title
Owner
Phone
(718) 601-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 171183 NY Primary

Addresses

Primary practice location

601 W 177TH St Apt 1
New York, NY 10033-7152

Mailing address

6140 Liebig Ave
Bronx, NY 10471-1008

Other identifiers 1

IdentifierTypeStateIssuer
01136727MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477670735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 LIEBIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 177TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337152",
            "telephone_number": "212-923-0559",
            "fax_number": "212-740-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO BAUTISTA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-601-3048",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "171183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.