Gweneth Fontanilla

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

409070 Issued in NY

Practice address

6741 Burns St Apt 105
Forest Hills, NY 11375-3552

Phone

(404) 717-3062

NPI assigned

Sep 1, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1073421814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 BURNS ST APT 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 BURNS ST APT 105",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753552",
            "telephone_number": "404-717-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANILLA",
        "first_name": "GWENETH",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "409070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Flores
• Abraham David Flug, M.D. ,P.C.
• Brent Fogel, DO
• Trudy Font-Padron, ED.D
• Aldalicia Fontane, MS
• Foot and Ankle Center of Fort Lee Podiatry
• Footprint Podiatry Care PC
• Footsteps Podiatry PLLC
• Forest Eye Care Optometry, PLLC
• Forest Hills Acupuncture & Physical Therapy PLLC

• Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.