Trinidad Delacruz Agtarap, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340262 Issued in NY

Practice address

4011 59TH St
Woodside, NY 11377-4837

Phone

(347) 589-3063

Fax

(347) 727-4305

NPI assigned

Jun 19, 2009

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eta Medical Management Inc

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1336900836
  NPD (past)
• Rapid Access Medical Diagnostics PLLC

  • Diagnostic Ultrasound Physician
  • Woodbury, NY
  • NPI 1053677278
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1295962041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 59TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774837",
            "telephone_number": "347-589-3063",
            "fax_number": "347-727-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 59TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774837",
            "telephone_number": "347-589-3063",
            "fax_number": "347-727-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5718 Woodside Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773444",
            "country_code": "US",
            "telephone_number": "718-205-0030",
            "fax_number": "718-205-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7116 34th Ave Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113721016",
            "country_code": "US",
            "telephone_number": "347-418-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGTARAP",
        "first_name": "TRINIDAD",
        "middle_name": "DELACRUZ",
        "name_prefix": "Miss",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "327245",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaritza Adames, PHLEBOTOMIST
• Advanced Health Pro, Inc.
• Advanced Medical Healthcare, P.C.
• Natasha Agard
• Jeremiah Agtarap, RN
• Gero Patrick Rojas Aguilar
• Laura Aguilera, RN
• Erie T Agustin, MD
• Frishta Ahmadi, COTA
• Aftab Ahmed

• Gerontology Nurse Practitioner in Woodside, NY
• Providers in Woodside, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.