Active NPI
Jessica Ivonne Fuentes, P.A.
- Physician Assistant
- Bronx, NY
National Provider Identifier
1689933095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015588
- Practice address
- 2590 Frisby Ave
Bronx, NY 10461-3240 - Phone
- (718) 409-9400
- Fax
- (718) 409-9440
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015588 | NY | Primary |
Addresses
Primary practice location
2590 Frisby Ave
Bronx, NY 10461-3240
Mailing address
8934 221St St
Queens Village, NY 11427-2508
Phone (914) 607-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 92.31
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 84.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
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- Ophthalmology Physician
- Bronx, NY
- NPI 1740488451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1689933095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8934 221ST ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272508",
"telephone_number": "914-607-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 FRISBY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613240",
"telephone_number": "718-409-9400",
"fax_number": "718-409-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "JESSICA",
"middle_name": "IVONNE",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.