DR. JUAN ANDRES FULLA
NPI 1104302025
Student in an Organized Health Care Education/Training Program in New York, NY

Active since July 13, 2018
1 GUSTAVE L LEVY PL # 1272, NEW YORK, NY 10029(212) 241-3209 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Andres Fulla NPPES

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

DR. JUAN ANDRES FULLA (NPI 1104302025) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1104302025
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUAN ANDRES FULLA
Location Address1 GUSTAVE L LEVY PL # 1272New York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl # 1272New York, NY 10029-6504 · (212) 241-3209
Sole ProprietorNo
Enumeration DateJuly 13, 2018
NPI 1104302025 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.
1 GUSTAVE L LEVY PL # 1272, New York, NY 10029

Other Providers at the Same Location NPPES 10

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

Urology
1 GUSTAVE L LEVY PL # 1272, MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Physician Assistant (Medical)
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Urology
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Urology
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1272
NEW YORK, NY 10029

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 Juan Fulla's NPI number?

The NPI number for Juan Fulla is 1104302025. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Juan Fulla located?

Juan Fulla practices at 1 Gustave L Levy Pl # 1272, New York, NY 10029. The listed phone number is (212) 241-3209.

What is Juan Fulla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Juan Fulla was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.