Individual provider Active NPI

Joseph Hurtado

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1699183574
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0173801 Issued in NY
Practice address
3612 E Tremont Ave
Bronx, NY 10465-2039
Phone
(718) 409-9494
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0173801 NY Primary

Addresses

Primary practice location

3612 E Tremont Ave
Bronx, NY 10465-2039

Mailing address

3612 E Tremont Ave
Bronx, NY 10465-2039
Phone (718) 409-9494

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200402001992 CT Practitioner - Physician Assistant 4688979925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0173801NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc CurrentSince Mar 1, 2020 Accepting new patients
Family Centers Inc. Past Accepting new patients
Ny Family Medical Docs PC Past Accepting new patients
Family Centers Inc Past Accepting new patients

Locations

75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

75 Holly Hill Ln
Ste 102
Greenwich, CT 06830
Phone (203) 717-1760

111 Wilbur Peck Ct
Lowr
Greenwich, CT 06830
Phone (203) 717-1760

111 Wilbur Peck Ct
Greenwich, CT 06830
Phone (203) 717-1760

Interoperability endpoints

  • Direct secure messaging: jhurtado633231@direct.ynhh.org

Organizations & group practices 4

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1699183574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652039",
            "telephone_number": "718-409-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652039",
            "telephone_number": "718-409-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0173801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.