Roberto Gonzales Javier, Nurse Practitioner in Adult Health, P.L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ROBERTO GONZALES JAVIER, NURSE PRACTITIONER IN ADULT HEALTH, P.L.L.C.

Practice address

8635 Queens Blvd Ste 1a
Elmhurst, NY 11373-4408

Phone

(347) 420-7869

Fax

(718) 565-2558

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Javier, NPNPI 1083937460

Title

Owner

Phone

(347) 420-7869

Specialties & licenses 1

Addresses

Practitioners 1

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

• Roberto Javier, NP

  • Adult Health Nurse Practitioner
  • Flushing, NY
  • NPI 1083937460
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1376146332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583331",
            "telephone_number": "212-671-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD STE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "347-420-7869",
            "fax_number": "718-565-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO GONZALES JAVIER, NURSE PRACTITIONER IN ADULT HEALTH, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-420-7869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natselany Rivera, M.S., CF-SLP, TSSLD
• Jose Aristides Roa, DDS
• Roadside Physical Therapy P.C
• Michael Jonathan Robbins, M.D.
• Roberto C. Granato, MDPC
• Ayanna Roberts
• Gail-Ann V Roberts, LCSW, CASAC-T
• Kemone Robinson, MD
• Kristyn Robinson
• Joy Rodd

• Primary Care Clinic/Center in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.