Active NPI
Julio E Sotelo, MD
- Hypertension Specialist Physician
- New York, NY
National Provider Identifier
1639282908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hypertension Specialist Physician
- License
- 112227
- Practice address
- 252 E 61St St
Apt 1DN
New York, NY 10065-8559 - Phone
- (212) 439-6700
- Fax
- (212) 439-8328
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29698 | NJ | |
| Internal Medicine Physician | 207R00000X | 112227 | NY | |
| Hypertension Specialist Physician | 207RH0005X | 112227 | NY | Primary |
Addresses
Primary practice location
252 E 61St St
Apt 1DN
New York, NY 10065-8559
Mailing address
563 Queen Anne Rd
Teaneck, NJ 07666-3322
Phone (201) 836-7031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00202933 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100714000000 | NY | Practitioner - Internal Medicine | 3375675242 | Practice locations: New York, NY |
| I20101014000038 | NJ | Practitioner - Internal Medicine | 3375675242 | Practice locations: Teaneck, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1965
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
563 Queen Anne Rd
Teaneck, NJ 07666-3322
Phone (201) 836-7031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29698 | NJ | MD | Internal Medicine Physician |
| 112227 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 133 East Medical PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1508002445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1639282908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 QUEEN ANNE RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663322",
"telephone_number": "201-836-7031",
"fax_number": "201-836-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 E 61ST ST",
"address_2": "APT 1DN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658559",
"telephone_number": "212-439-6700",
"fax_number": "212-439-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO",
"first_name": "JULIO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "29698",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "112227",
"primary": false
},
{
"code": "207RH0005X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hypertension Specialist",
"state": "NY",
"license": "112227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00202933",
"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 Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.