Individual provider Active NPI

Leoncia Esquivel Carlota, M.D.

  • Internal Medicine Physician
  • W Brentwood, NY
National Provider Identifier
1619016987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
123037 Issued in NY
Practice address
998 Crooked Hill Rd
W Brentwood, NY 11717-1043
Phone
(631) 453-4628
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 123037 NY Primary

Addresses

Primary practice location

998 Crooked Hill Rd
W Brentwood, NY 11717-1043

Mailing address

105 Westwood Dr
# 132
Westbury, NY 11590-5540
Phone (631) 453-4628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619016987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTWOOD DR",
            "address_2": "# 132",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905540",
            "telephone_number": "631-453-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-453-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOTA",
        "first_name": "LEONCIA",
        "middle_name": "ESQUIVEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "123037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Brentwood, NY

Sources for this page

Verify at the official NPI Registry.