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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: July 19, 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
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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.

SUMUKH B PATIL MD
Radiology (Diagnostic Radiology)
82-68 164TH ST., ROOM G 52
JAMAICA, NY 11432
Queens County (718) 883-4406
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. 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
MARIA IRAIDA CASTANOS RDN
Dietitian, Registered
82-68 164TH ST.
JAMAICA, NY 11432
Queens County (718) 883-3627
DR. GRAY CRUM BALLINGER
General Practice
82-68 164TH ST.
JAMAICA, NY 11432
Queens County (718) 883-3248
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

Frequently Asked Questions

What is Juan Gaetan's NPI number?

The NPI number assigned to this healthcare provider is 1730165192, enumerated as an "individual" on December 19, 2005.

Where is the provider located?

The provider is located at 82-68 164TH ST. DEPARTMENT OF EMERGENCY MEDICINE JAMAICA, NY 11432 and the phone number is (718) 883-3075.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

What insurance does Juan Gaetan accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.