Individual provider Active NPI

Juan Felipe Crespo Quezada, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1700455409
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
330869 Issued in NY
Practice address
1265 Franklin Ave
Bronx, NY 10456-3501
Phone
(718) 590-1800
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 330869 NY Primary

Addresses

Primary practice location

1265 Franklin Ave
Bronx, NY 10456-3501

Mailing address

1276 Fulton Ave
Bronx, NY 10456-3467
Phone (718) 590-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20240903003563 NY Practitioner - Internal Medicine 3870032931 Reassigns benefits to 1 organization
I20260108001944 CT Practitioner - Internal Medicine 3870032931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Connecticut Institute for Communities IncGroup PAC ID 3779623228, 45 clinicians
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760

1265 Franklin Ave
FL 6
Bronx, NY 10456-3501
Phone (718) 177-2120

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Internal Medicine CurrentSince Jul 9, 2024 Accepting new patients
Bronxcare Health System CurrentSince Jul 9, 2024 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Dec 6, 2025 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Dec 6, 2025 Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Rm 219
Bronx, NY 10456

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1265 Franklin Ave
Bronx, NY 10456
Phone (718) 503-7700

1265 Franklin Ave
Fl 6
Bronx, NY 10456

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1700455409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563467",
            "telephone_number": "718-590-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 FRANKLIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563501",
            "telephone_number": "718-590-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO QUEZADA",
        "first_name": "JUAN",
        "middle_name": "FELIPE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "330869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.