Active NPI
Ofelia R Flores, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1861576605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 107550
- Practice address
- 1015 Ogden Ave
Bronx, NY 10452-5104 - Phone
- (718) 681-6073
- Fax
- (718) 681-0347
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 107550 | NY | Primary |
Addresses
Primary practice location
1015 Ogden Ave
Bronx, NY 10452-5104
Mailing address
88 Old Colony Rd
Hartsdale, NY 10530-3618
Phone (718) 681-6073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00189533 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107550 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861576605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 OLD COLONY RD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303618",
"telephone_number": "718-681-6073",
"fax_number": "718-681-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 OGDEN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104525104",
"telephone_number": "718-681-6073",
"fax_number": "718-681-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "OFELIA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "107550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00189533",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.