Trinidad D Agtarap Nurse Practitioner in Gerontology PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC

Practice address

7116 34TH Ave Apt 2B
Jackson Heights, NY 11372-1016

Phone

(347) 507-1197

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trinidad D Agtarap, GNP-BC

Title

Manager

Phone

(347) 507-1197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1386118412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 34TH AVE APT 2B",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721016",
            "telephone_number": "347-507-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 34TH AVE APT 2B",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721016",
            "telephone_number": "347-507-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD D AGTARAP NURSE PRACTITIONER IN GERONTOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "AGTARAP",
        "authorized_official_first_name": "TRINIDAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-507-1197",
        "authorized_official_credential": "GNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.