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

Q: 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.

Q: What is Juan Gaetan's specialty?

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

Q: 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.

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: August 16, 2026.

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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

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Other Identifiers 1

Medicaid02267756NY

Medicare Participation & PECOS CMS

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

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.

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.

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.