Individual provider Active NPI

Bettina Therese Macariola Escolano, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1679269369
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84298 Issued in CT
Practice address
506 Lenox Avenue, Harlem Hospital Center
RM. 13-106, MLK, Department of Medicine/Residency Progr
New York, NY 10037
Phone
(212) 939-1406
Fax
(212) 939-1462
NPI assigned
Apr 14, 2023
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 84298 CT Primary

Addresses

Primary practice location

506 Lenox Avenue, Harlem Hospital Center
RM. 13-106, MLK, Department of Medicine/Residency Progr
New York, NY 10037

Mailing address

506 Lenox Avenue, Harlem Hospital Center
RM. 13-106, MLK, Department of Medicine/Residency Progr
New York, NY 10037
Phone (212) 939-1406

Other practice location 1

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260519000290 CT Practitioner - Internal Medicine 5698244770

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 Silas Deane Hwy
Wethersfield, CT 06109

66 W 138TH St Apt
4D
New York, NY 10037-1720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84298CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1679269369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE, HARLEM HOSPITAL CENTER",
            "address_2": "RM. 13-106, MLK, DEPARTMENT OF MEDICINE/RESIDENCY PROGR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1406",
            "fax_number": "212-939-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVENUE, HARLEM HOSPITAL CENTER",
            "address_2": "RM. 13-106, MLK, DEPARTMENT OF MEDICINE/RESIDENCY PROGR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1406",
            "fax_number": "212-939-1462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Main St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066064201",
            "country_code": "US",
            "telephone_number": "475-210-5718",
            "fax_number": "475-210-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOLANO",
        "first_name": "BETTINA THERESE",
        "middle_name": "MACARIOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "84298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.