Organization Active NPI

Juan T. Estevez MD PC

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1952596280
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
199868 Issued in NY
Legal business name
JUAN T. ESTEVEZ MD PC
Practice address
375 E Fordham Rd FL 2
Bronx, NY 10458-5033
Phone
(718) 584-3826
Fax
(718) 584-7309
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Juan T Estevez, M.D.NPI 1689731614
Title
President
Phone
(914) 310-3418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 199868 NY Primary

Addresses

Primary practice location

375 E Fordham Rd FL 2
Bronx, NY 10458-5033

Mailing address

43 Hayhurst Dr
New Rochelle, NY 10804-2001
Phone (914) 235-8997

Other identifiers 1

IdentifierTypeStateIssuer
01567064MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0962967Juan T Estevez MD PC375 E Fordham Rd 2 FL, Bronx, NY 10458Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

375 E Fordham Rd
Fl 2
Bronx, NY 10458
Phone (718) 584-3826

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1952596280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HAYHURST DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042001",
            "telephone_number": "914-235-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E FORDHAM RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585033",
            "telephone_number": "718-584-3826",
            "fax_number": "718-584-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN T. ESTEVEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-310-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01567064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.