Individual provider Active NPI

Andres Placido Orozco, MD

  • Psychiatry Physician
  • Hollis, NY
National Provider Identifier
1720140940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
133966 Issued in NY
Practice address
19621 Foothill Ave
Hollis, NY 11423-1413
Phone
(917) 549-3841
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 133966 NY Primary

Addresses

Primary practice location

19621 Foothill Ave
Hollis, NY 11423-1413

Mailing address

19621 Foothill Ave
Hollis, NY 11423-1413
Phone (917) 549-3841

Other practice location 1

19621 Foothill Ave
Hollis, NY 11423-1413
Phone (917) 549-3841

Other identifiers 1

IdentifierTypeStateIssuer
00276297MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Nurse Practitioner Home Visits PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720140940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19621 FOOTHILL AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231413",
            "telephone_number": "917-549-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 FOOTHILL AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231413",
            "telephone_number": "917-549-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19621 Foothill Ave",
            "address_purpose": "LOCATION",
            "city": "Hollis",
            "state": "NY",
            "postal_code": "114231413",
            "country_code": "US",
            "telephone_number": "917-549-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "ANDRES",
        "middle_name": "PLACIDO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "133966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.