Individual provider Active NPI

Ericka Elizabeth Quezada-York, CNM, RN

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1821415506
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001596 Issued in NY
Practice address
14 Dekalb Ave FL 2
Brooklyn, NY 11201-5311
Phone
(718) 875-4848
Fax
(718) 808-9548
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001596 NY
Advanced Practice Midwife 367A00000X 001596 NY Primary

Addresses

Primary practice location

14 Dekalb Ave FL 2
Brooklyn, NY 11201-5311

Mailing address

430 5TH Ave FL 2
Brooklyn, NY 11215-4013
Phone (917) 742-0985

Other practice location 1

142 Joralemon St
Ste 4C-F
Brooklyn, NY 11201
Phone (718) 624-0604

Other practice location 2

3047 Brighton 6th St Ste 1
Brooklyn, NY 11235-6534
Phone (718) 743-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000798 NY Practitioner - Certified Nurse Midwife (CNM) 0547483299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
001596NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Manhattan Beach OBGYN, P.C. PastSince Sep 1, 2003 Accepting new patients
Professional Gynecological Services, PC PastSince Oct 27, 2018 Accepting new patients

Locations

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

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

1650 Grand Concourse
Fl 5
Bronx, NY 10457
Phone (718) 239-8383

Interoperability endpoints

  • Direct secure messaging: wrappaport21871@prd.direct.tbh.org
  • Direct secure messaging: erickaquezada-york@mai.allscriptsdirect.net

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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1821415506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 5TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154013",
            "telephone_number": "917-742-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEKALB AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015311",
            "telephone_number": "718-875-4848",
            "fax_number": "718-808-9548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Joralemon St",
            "address_2": "Ste 4C-F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "718-624-0604",
            "fax_number": "714-624-3944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3047 Brighton 6th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112356534",
            "country_code": "US",
            "telephone_number": "718-743-7877",
            "fax_number": "718-743-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEZADA-YORK",
        "first_name": "ERICKA",
        "middle_name": "ELIZABETH",
        "credential": "CNM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001596",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.