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EMMANUEL DE JESUS GAETA MD
NPI 1649020918
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 27, 2024

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emmanuel De Jesus Gaeta Md NPPES

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

EMMANUEL DE JESUS GAETA MD (NPI 1649020918) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1649020918
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEMMANUEL DE JESUS GAETACredential: MD
Location Address1 ILLINI DRPeoria, IL 61605-2576
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (909) 677-8728
Phone(909) 677-8728
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1649020918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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 ILLINI DR, Peoria, IL 61605
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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.

EMILY SHI
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (130) 967-1300
RICHARD HORNDASCH MD
Pediatrics (Adolescent Medicine)
1 ILLINI DR, MEDICAL SERVICE PLAN
PEORIA, IL 61605
Peoria County (309) 671-8503
ADEE ATHIYAMAN MD
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
KRISTI UPADHYAYA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 624-9351
LEONELA C BASTIDAS MD
Internal Medicine (Cardiovascular Disease)
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
OLIVIA GUNTIN
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
NIDA ALAM
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000
SYLWIA PATRYCJA BALATA
Student in an Organized Health Care Education/Training Program
1 ILLINI DR
PEORIA, IL 61605
Peoria County (309) 671-3000

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 Emmanuel Gaeta's NPI number?

The NPI number for Emmanuel Gaeta is 1649020918. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Emmanuel Gaeta located?

Emmanuel Gaeta practices at 1 Illini Dr, Peoria, IL 61605. The listed phone number is (909) 677-8728.

What is Emmanuel Gaeta'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 Emmanuel Gaeta was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.