Edgard Quinones P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDGARD QUINONES P.C.

Practice address

122 E Main St
Walden, NY 12586-1554

Phone

(845) 778-0423

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edgard QuinonesNPI 1659444321

Title

President

Phone

(845) 778-0423

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgard Quinones, MD

  • Internal Medicine Physician
  • Walden, NY
  • NPI 1659444321
  Medicare reassignment NPD Authorized official
• Patricia J Quinones, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Walden, NY
  • NPI 1669809182
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1861763096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861554",
            "telephone_number": "845-778-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARD QUINONES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "EDGARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-778-0423",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumitra Dhanyamraju, MD
• Crystal Diaz
• Theresa Dolson, PHARMD, RPH
• Donald Segal
• Brooke Nicolle Duffy, OTR/L
• Arianna Camille Edwards
• Samantha Ellis, MS, RD
• Chasity Christine Eraso, LPN
• Michelle Espinosa, NURSE PRACTITIONER
• Everlin E Fernandez, RN,BSN

• Internal Medicine Physician in Walden, NY
• Providers in Walden, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.