Individual provider Active NPI

Julio E Sotelo, MD

  • Hypertension Specialist Physician
  • New York, NY
National Provider Identifier
1639282908
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hypertension Specialist PhysicianTaxonomy code 207RH0005X
License
112227 Issued in NY
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

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00202933MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100714000000 NY Practitioner - Internal MedicinePractitioner - Other (Physician) 3375675242 Practice locations: New York, NY
I20101014000038 NJ Practitioner - Internal MedicinePractitioner - Other (Physician) 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

LicenseStateTypeSpecialty
29698NJMDInternal Medicine Physician
112227NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.