Active NPI
Carlo Jayson Francisco Duero
- Licensed Vocational Nurse
- Elmhurst, NY
National Provider Identifier
1023893146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 313965-01
- Practice address
- 8645 Saint James Ave Apt 1a
Elmhurst, NY 11373-3843 - Phone
- (134) 746-9875
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 313965-01 | NY | Primary |
Addresses
Primary practice location
8645 Saint James Ave Apt 1a
Elmhurst, NY 11373-3843
Mailing address
8645 Saint James Ave Apt 1a
Elmhurst, NY 11373-3843
Phone (134) 746-9875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313965-01 | NY | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1023893146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8645 SAINT JAMES AVE APT 1A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733843",
"telephone_number": "134-746-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 SAINT JAMES AVE APT 1A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733843",
"telephone_number": "134-746-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUERO",
"first_name": "CARLO JAYSON",
"middle_name": "FRANCISCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "NY",
"license": "313965-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.