Active NPI
Francisco Bautista, M.D., P.C.
- Gastroenterology Physician
- New York, NY
National Provider Identifier
1477670735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 171183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136727 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.