Bryan Joel Villanueva Nitural, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

038911 Issued in NY

Practice address

820 2ND Ave RM 6a
New York, NY 10017-4530

Phone

(929) 245-6596

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1003457086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 56TH ST APT 1J",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778904",
            "telephone_number": "929-245-6596",
            "fax_number": "347-332-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174530",
            "telephone_number": "929-245-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITURAL",
        "first_name": "BRYAN JOEL",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "038911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bryanjoelnitural",
            "affiliation": "N",
            "endpointDescription": "bryanjoelnitural",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "820 2nd Ave Rm 6A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100174530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nitin D Sheth Surgeon PC
• Sarah Alexandra Nitka, D.O.
• Talia Nitka, LCSW
• Holley Nitsberg, PT, DPT
• Rebecca Nitschelm
• Andrew Nitz, PA-C
• Charlotte Nitz
• Emily Paige Nitzberg
• Matthew Elliot Nitzberg, LMSW
• George Coolidge Nitzburg, PHD

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.