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MR. JUAN GAETAN CPNP-PC
NPI 1730165192
Nurse Practitioner - Pediatrics in Jamaica, NY

Active since December 19, 2005PECOS Enrolled
82-68 164TH ST., DEPARTMENT OF EMERGENCY MEDICINE, JAMAICA, NY 11432(718) 883-3075(718) 883-6115 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Juan Gaetan Cpnp-pc NPPES

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

MR. JUAN GAETAN CPNP-PC (NPI 1730165192) is an individual pediatrics provider in Jamaica, New York, licensed in New York (F381315) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730165192
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. JUAN GAETANCredential: CPNP-PC
Location Address82-68 164TH ST., DEPARTMENT OF EMERGENCY MEDICINEJamaica, NY 11432-1121
Mailing Address2094 Pitkin AveBrooklyn, NY 11207-3509 · (718) 240-0400
Phone(718) 883-3075
Fax(718) 883-6115
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1730165192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381315
Also ListedRegistered NurseTaxonomy 163W00000X · License 466314 (NY)
82-68 164TH ST., Jamaica, NY 11432
Open in Google Maps ↗

Other Identifiers 1

Medicaid02267756NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Juan Gaetan Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Juan Gaetan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
Same address
General Acute Care Hospital
82-68 164TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1801803903 (718) 883-2929

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MS. SUSAN H KANE LCSW
Social Worker (Clinical)
82-68 164TH ST., PAVILLION 334 C.
NEW YORK CITY, NY 11432
Queens County (718) 883-2954
DR. JONATHAN ARNEDO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
82-68 164TH ST., QUEENS HOSPITAL CENTER
JAMAICA, NY 11432
Queens County (718) 883-4080
DR. GRAY CRUM BALLINGER
General Practice
82-68 164TH ST.
JAMAICA, NY 11432
Queens County (718) 883-3248
DR. KAMERON BAZMI M.D.
Student in an Organized Health Care Education/Training Program
82-68 164TH ST.
JAMICA QUEENS, NY 11432
Queens County (718) 883-7361
SUMUKH B PATIL MD
Radiology (Diagnostic Radiology)
82-68 164TH ST., ROOM G 52
JAMAICA, NY 11432
Queens County (718) 883-4406
MARIA IRAIDA CASTANOS RDN
Dietitian, Registered
82-68 164TH ST.
JAMAICA, NY 11432
Queens County (718) 883-3627

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 Gaetan's NPI number?

The NPI number for Juan Gaetan is 1730165192. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Juan Gaetan located?

Juan Gaetan practices at 82-68 164th St. Department Of Emergency Medicine, Jamaica, NY 11432. The listed phone number is (718) 883-3075.

What is Juan Gaetan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Juan Gaetan enrolled in Medicare?

Yes. Juan Gaetan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juan Gaetan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Gaetan reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jamaica, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Gaetan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juan Gaetan was last updated on May 30, 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.