DR. JUANITA SEQUEIRA MD
NPI 1174109532
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PKWY S BLDG 6, BRONX, NY 10461(718) 918-5820 Get Directions Write a Review

NPPES record last updated: October 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 29, 2023, Mar 24, 2021 (2 updates tracked since 2021).

About Dr. Juanita Sequeira Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUANITA SEQUEIRA MD (NPI 1174109532) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2021).

NPPES Registry Identity

NPI1174109532
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JUANITA SEQUEIRACredential: MD
Location Address1400 PELHAM PKWY S BLDG 6Bronx, NY 10461-1119
Mailing Address3450 Wayne Ave Apt 9sBronx, NY 10467-2511 · (347) 387-4302
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateOctober 29, 20232 updates tracked since enumeration
NPPES CertifiedOctober 29, 2023
NPI 1174109532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 PELHAM PKWY S BLDG 6, Bronx, NY 10461

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Juanita Sequeira Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103339403
PECOS Enrollment IDI20250630003980
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S BLDG 6, SUITE B125
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S BLDG 6
BRONX, NY 10461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174109532, enumerated as an "individual" on March 24, 2021.

The provider is located at 1400 PELHAM PKWY S BLDG 6 BRONX, NY 10461 and the phone number is (718) 918-5820.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.