Individual provider Active NPI

Magda Julissa Escobar-Beltran, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1952741902
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337711 Issued in NY
Practice address
160 W 26TH St FL 4
New York, NY 10001-6975
Phone
(212) 924-2510
NPI assigned
Jul 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337711 NY Primary

Addresses

Primary practice location

160 W 26TH St FL 4
New York, NY 10001-6975

Mailing address

81 Grattan St
Apt 1R
Brooklyn, NY 11237-1979
Phone (917) 304-9021

Other practice location 1

81 Grattan St
Apt 1R
Brooklyn, NY 11237-1979
Phone (917) 304-9021

Other names 1

  • Magda Julissa Escobar Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331002429 NY Practitioner - Nurse Practitioner 7012234065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Health Center IncGroup PAC ID 1951290204, 33 clinicians

Practice addresses (Care Compare)

275 7TH Ave
FL 4
New York, NY 10001-6757
Phone (212) 924-2510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337711NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Health Center CurrentSince Nov 16, 2016 Accepting new patients
Union Health Center, Inc CurrentSince Nov 16, 2016 Accepting new patients

Locations

160 W 26th St
Fl 4
New York, NY 10001
Phone (212) 812-3736

275 7th Ave
Fl 4
New York, NY 10001
Phone (212) 812-3542

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, 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": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1952741902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GRATTAN ST",
            "address_2": "APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112371979",
            "telephone_number": "917-304-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W 26TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016975",
            "telephone_number": "212-924-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Grattan St",
            "address_2": "Apt 1R",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112371979",
            "country_code": "US",
            "telephone_number": "917-304-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOBAR-BELTRAN",
        "first_name": "MAGDA",
        "middle_name": "JULISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDA",
            "last_name": "ESCOBAR",
            "middle_name": "JULISSA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.