Individual provider Active NPI

Estrella Roffe, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1952527582
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
271244 Issued in NY
Practice address
1901 1St Ave RM 1D7
New York, NY 10029-7404
Phone
(646) 672-3558
Fax
(646) 672-3560
NPI assigned
Apr 18, 2007
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 271244 NY Primary

Addresses

Primary practice location

1901 1St Ave RM 1D7
New York, NY 10029-7404

Mailing address

1901 1St Ave RM 1D7
New York, NY 10029-7404
Phone (646) 672-3558

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

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
I20081218000768 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1052473477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

356 W 125TH St
New York, NY 10027-4820
Phone (646) 647-1267

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 1, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 25, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 25, 2020 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

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

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

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

1901 1st Ave
Rm 1D7
New York, NY 10029
Phone (646) 672-3558

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

356 W 125th St
New York, NY 10027
Phone (646) 647-1267

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

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

Interoperability endpoints

  • Direct secure messaging: estrella.roffe.1@2983.direct.athenahealth.com
  • Direct secure messaging: estrellaroffe@mai.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1952527582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE RM 1D7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "646-672-3558",
            "fax_number": "646-672-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE RM 1D7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "646-672-3558",
            "fax_number": "646-672-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFE",
        "first_name": "ESTRELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "271244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.