Individual provider Active NPI

Alfonso Eduardo Llosa Guerra

  • Internal Medicine Physician
  • Briarcliff Manor, NY
National Provider Identifier
1881932234
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
279038 Issued in NY
Practice address
302 Chappaqua Rd.
Hudson Infectious Diseases Associates, PC
Briarcliff Manor, NY 10510-1354
Phone
(914) 762-2276
Fax
(914) 762-2894
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 279038 NY Primary

Addresses

Primary practice location

302 Chappaqua Rd.
Hudson Infectious Diseases Associates, PC
Briarcliff Manor, NY 10510-1354

Mailing address

302 Chappaqua Rd.
Alfonso Llosa Guerra, MD
Briarcliff Manor, NY 10510-1354
Phone (914) 762-2276

Other identifiers 1

IdentifierTypeStateIssuer
279038OtherNYLICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000915 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 6608178439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279038NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

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

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: allosaguerra328539@nychhc.direct-ci.com
  • Direct secure messaging: alfonso.llosaguerra@direct.hvhc.org

Organizations & group practices 2

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.

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1881932234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHAPPAQUA RD.",
            "address_2": "ALFONSO LLOSA GUERRA, MD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-2276",
            "fax_number": "914-762-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CHAPPAQUA RD.",
            "address_2": "HUDSON INFECTIOUS DISEASES ASSOCIATES, PC",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-2276",
            "fax_number": "914-762-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOSA GUERRA",
        "first_name": "ALFONSO",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "279038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

Verify at the official NPI Registry.