Individual provider Active NPI

Nicasio I Arana, M.D

  • Pediatrics Physician
  • Jamaica, NY
National Provider Identifier
1124047121
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
215826 Issued in NY
Practice address
8801 Parsons Blvd
Jamaica, NY 11432-3841
Phone
(347) 233-2480
Fax
(347) 454-9916
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 215826 NY Primary
General Practice Physician 208D00000X 215826 NY

Addresses

Primary practice location

8801 Parsons Blvd
Jamaica, NY 11432-3841

Mailing address

21418 33Rd Ave
Bayside, NY 11361-1631
Phone (914) 320-9744

Other identifiers 1

IdentifierTypeStateIssuer
02071456MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001340 NY Practitioner - General PracticePractitioner - Pediatric Medicine 7719262534 Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGHBA/Endpoint/EHGHBA

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1124047121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21418 33RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611631",
            "telephone_number": "914-320-9744",
            "fax_number": "347-454-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 PARSONS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323841",
            "telephone_number": "347-233-2480",
            "fax_number": "347-454-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANA",
        "first_name": "NICASIO",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215826",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "215826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02071456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.