Individual provider Active NPI

Luz Maria Quezada Silva, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1942795356
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
312825 Issued in NY
Practice address
1262 Boston Rd Ste 2
Bronx, NY 10456-3602
Phone
(718) 569-7929
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 312825 NY Primary

Addresses

Primary practice location

1262 Boston Rd Ste 2
Bronx, NY 10456-3602

Mailing address

10 Stewart PL Apt 8FW
White Plains, NY 10603-7007
Phone (347) 641-1212

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
I20211105001154 NY Practitioner - Family Practice 3779972120 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312825NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CCN General Medicine PLLC Family Medicine CurrentSince Sep 2, 2021 Accepting new patients

Locations

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

Organizations & group practices 1

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1942795356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STEWART PL APT 8FW",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106037007",
            "telephone_number": "347-641-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563602",
            "telephone_number": "718-569-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA SILVA",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "312825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.