Juan a. Alba, MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JUAN A. ALBA, MDPC

Practice address

29 Wadsworth Ave Apt 1B
New York, NY 10033-7011

Phone

(551) 404-7885

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Juan A AlbaNPI 1578649059

Title

Medical Doctor

Phone

(551) 404-7884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonia Evangelina Guzman

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1962193144
  Medicare reassignment NPD
• Juan Andres Alba, M.D.,

  • Family Medicine Physician
  • New York, NY
  • NPI 1578649059
  NPD Authorized official
• Rashini Rumesha Wijesinghe Kannangara, DPM

  • Podiatrist
  • Woodside, NY
  • NPI 1063845568
  NPD (past)

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1144071978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337011",
            "telephone_number": "551-404-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WADSWORTH AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337011",
            "telephone_number": "551-404-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A. ALBA, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "551-404-7884",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Changwon Ju, MD
• Anne Ju, RN
• Gwanhun Ju, DPT
• Ricky Ju, DO, MS
• Sara Ju, DDS
• Juan C Jaramillo DDS PC
• Juan C. Jaramillo D.D.S. P.C.
• Juan Collado, DDS PC
• Juan Yamin MD PC
• Ma.Victoria Castaneda Juanito, RN

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.