Active NPI
Juan Alvaro Escobar Quintanilla, NP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348115
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 920-4321
- NPI assigned
- Sep 8, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348115 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
160 Riverside Blvd Apt 11N
New York, NY 10069-0708
Phone (305) 904-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401
Hospital & facility affiliations
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348115 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233
2722 White Plains Rd
Ste A
Bronx, NY 10467
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892
1434 Williamsbridge Rd
Ste A
Bronx, NY 10461
2308 Eastchester Rd
Bronx, NY 10469
502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905
3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000
5667 Riverdale Ave
Bronx, NY 10471
2742 3rd Ave
Ste A
Bronx, NY 10455
1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400
1990 McGraw Ave
Ste A
Bronx, NY 10462
2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434
111 E 210th St
Bronx, NY 10467
1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800
616 Castle Hill Ave
Ste A
Bronx, NY 10473
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- juescoba@montefioredirect.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1699444109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 RIVERSIDE BLVD APT 11N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690708",
"telephone_number": "305-904-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR QUINTANILLA",
"first_name": "JUAN",
"middle_name": "ALVARO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348115",
"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 Sep 8, 2021; 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.