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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GWENETH FONTANILLA
NPI 1073421814
Nurse Practitioner - Psychiatric/Mental Health in Forest Hills, NY

Active since September 01, 2026
6741 BURNS ST APT 105, FOREST HILLS, NY 11375(404) 717-3062 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gweneth Fontanilla NPPES

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

GWENETH FONTANILLA (NPI 1073421814) is an individual psychiatric/mental health provider in Forest Hills, New York, licensed in New York (409070) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1073421814
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameGWENETH FONTANILLA
Location Address6741 BURNS ST APT 105Forest Hills, NY 11375-3552
Mailing Address6741 Burns St Apt 105Forest Hills, NY 11375-3552
Phone(404) 717-3062
Sole ProprietorYes
Enumeration DateSeptember 1, 2026
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1073421814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 409070
6741 BURNS ST APT 105, Forest Hills, NY 11375
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gweneth Fontanilla's NPI number?

The NPI number for Gweneth Fontanilla is 1073421814. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Gweneth Fontanilla located?

Gweneth Fontanilla practices at 6741 Burns St Apt 105, Forest Hills, NY 11375. The listed phone number is (404) 717-3062.

What is Gweneth Fontanilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Gweneth Fontanilla was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.