Individual provider Active NPI

Oscar R Quezada, M.D.

  • Obstetrics & Gynecology Physician
  • Riverhead, NY
National Provider Identifier
1770670945
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
273139 Issued in NY
Practice address
31 Main Rd
Riverhead, NY 11901-1953
Phone
(361) 727-4950
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 273139 NY Primary
Obstetrics & Gynecology Physician 207V00000X K7471 TX

Addresses

Primary practice location

31 Main Rd
Riverhead, NY 11901-1953

Mailing address

6 Beatty Rd
Shoreham, NY 11786-1053
Phone (915) 227-2117

Other identifiers 4

IdentifierTypeStateIssuer
1459521-04MedicaidTX
03872997MedicaidNY
1459521-05MedicaidTX
273139OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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
I20160406002324 NY Practitioner - Obstetrics/Gynecology 8224138821 Reassigns benefits to 9 organizations
I20241118000521 NY Practitioner - Psychiatry 8224138821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Sep 1, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 21, 2020 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Jan 1, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 21, 2020 Accepting new patients
Kings Physician Services, PC CurrentSince May 5, 2022 Accepting new patients
Huntington Hospital Dolan Family Health Center CurrentSince Jan 20, 2021 Accepting new patients
Kings Physician Services, PC CurrentSince May 5, 2022 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Mar 23, 2024 Accepting new patients
New York University CurrentSince Jan 1, 2018 Accepting new patients
Sun River Health Inc. CurrentSince Jan 24, 2016 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Las Nubes Women'S Healthcare PastSince Jan 1, 1990 Accepting new patients
Planned Parenthood Center of El Paso Obstetrics & Gynecology Past Accepting new patients
Central Suffolk Hospital Past Accepting new patients
Planned Parenthood Center of El Paso Obstetrics & Gynecology Past Accepting new patients
Central Suffolk Hospital Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

19 Bradhurst Ave
Ste 2700S
Hawthorne, NY 10532
Phone (914) 493-2250

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

640 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 737-0100

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • Direct secure messaging: oquezada187049@direct.medisys.org
  • Direct secure messaging: oquezada67478@northwell.direct-ci.com
  • Direct secure messaging: oquezada840879@nychhc.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1770670945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BEATTY RD",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861053",
            "telephone_number": "915-227-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011953",
            "telephone_number": "361-727-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "OSCAR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "273139",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K7471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459521-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03872997",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459521-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "273139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.