DR. ROBERTO ESTRADA (NPI# 1063506822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063506822 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO ESTRADA |
| Credential | M.D. |
| Practice Address |
111 E 80th St Suite 1b New York NY 10075-0334 |
| Practice Telephone | 2127174870 |
| Practice Fax Number | 2127174872 |
| Mailing Telephone | 2127174870 |
| Mailing Fax Number | 2127174872 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
232343 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02657867 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710940754 | Roberto E Estrada | Pediatrics | 401 W Centerville Rd, Ste 1, Garland, TX 75041-5458 | 2006-04-10 |
| Street Address |
111 E 80TH ST SUITE 1B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886645 | Michael Peter Krumholz | Internal Medicine | 111 E 80th St, New York, NY 10021-0334 | 2005-07-21 |
| 1174978589 | Ellen M Rooney Md PC | Internal Medicine | 111 E 80th St, Suite 1c, New York, NY 10075-0334 | 2016-05-04 |
| 1770949117 | One Eleven Medical, PC | Internal Medicine | 111 E 80th St, Suite 1c, New York, NY 10075-0334 | 2016-01-14 |
| 1568870830 | Elizabeth Armstrong Lcsw Pllc | Social Worker | 111 E 80th St, 1d, New York, NY 10075-0334 | 2014-07-30 |
| 1295093185 | Elizabeth T Armstrong | Social Worker | 111 E 80th St, Suite 1d, New York, NY 10075-0334 | 2012-04-27 |
| 1356664148 | Bonnie Goldblatt | Psychologist | 111 E 80th St, Suite 1d, New York, NY 10075-0334 | 2010-03-08 |
| 1285801613 | Park-lex Medical, P.C. | Anesthesiology | 111 E 80th St, Suite 1c, New York, NY 10075-0334 | 2008-05-14 |
| 1710189501 | Kathleen Marie Young | Psychiatry & Neurology | 111 E 80th St, Suite 1d, New York, NY 10075-0334 | 2007-06-04 |
| 1295958841 | East Side Gastroenterology, P.C. | Specialist | 111 E 80th St, 1c, New York, NY 10021-0334 | 2007-04-11 |
| 1689687139 | Joanne Goldman | Anesthesiology | 111 E 80th St, Suite #1c, New York, NY 10075-0334 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| 1669527925 | Miodrag Ristich | Psychiatry & Neurology | 201 E 79th St, Suite 7j, New York, NY 10021-0830 | 2007-01-24 |
| 1740211143 | Service Program for Older People Inc | Psychiatry & Neurology | 302 W 91st St, New York, NY 10024-1011 | 2006-07-05 |
| 1730117342 | Robert Abrams | Psychiatry & Neurology | 175 W 13th St, #16-g, New York, NY 10011-7855 | 2006-06-30 |
| 1497781371 | Jose A Baez | Psychiatry & Neurology | 707west 171 Street, Suite W, New York, NY 10032 | 2006-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.