Individual provider Active NPI

Hildred Machuca, DO

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1952487894
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
227890 Issued in NY
Practice address
871 Prospect Avenue
South Bronx Health Center
Bronx, NY 10459
Phone
(718) 991-0605
Fax
(347) 498-2751
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 227890 NY Primary

Addresses

Primary practice location

871 Prospect Avenue
South Bronx Health Center
Bronx, NY 10459

Mailing address

871 Prospect Ave
Bronx, NY 10459-3913
Phone (718) 991-0605

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
I20050316001095 NY Practitioner - Pediatric Medicine 4981659521 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227890NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince May 3, 2010 Accepting new patients
Westchester Health Medical, P.C. Pediatrics CurrentSince Sep 16, 2019 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Sep 16, 2019 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince May 3, 2010 Accepting new patients

Locations

871 Prospect Ave
Bronx, NY 10459
Phone (718) 991-0605

111 E 210th St
Bronx, NY 10467

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

755 N Broadway
Ste 500
Sleepy Hollow, NY 10591
Phone (914) 366-0015

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Networks

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

Interoperability endpoints

  • Direct secure messaging: hmachuca25447@northwell.direct-ci.com
  • Direct secure messaging: hildred.machucado.p1@direct.westchesterhealth.nextgenshare.com

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1952487894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593913",
            "telephone_number": "718-991-0605",
            "fax_number": "718-991-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 PROSPECT AVENUE",
            "address_2": "SOUTH BRONX HEALTH CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10459",
            "telephone_number": "718-991-0605",
            "fax_number": "347-498-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "HILDRED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "227890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.