Healthcare Provider Details

I. General information

NPI: 1497940811
Provider Name (Legal Business Name): YOEL ANTONIO ROJAS ORTIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: YOEL ANTONIO ROJAS ORTIZ M.D.

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 JERICHO TPKE STE 1A
JERICHO NY
11753-1317
US

IV. Provider business mailing address

350 JERICHO TPKE STE 1A
JERICHO NY
11753-1317
US

V. Phone/Fax

Practice location:
  • Phone: 516-833-0309
  • Fax: 516-570-3747
Mailing address:
  • Phone: 516-833-0309
  • Fax: 516-570-3747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number271900
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number271900
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: