Active NPI
Adriana Restrepo
- Gerontology Nurse Practitioner
- New York, NY
National Provider Identifier
1508917493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 340364
- Practice address
- 1 Penn PLZ
8TH Floor
New York, NY 10119-0002 - Phone
- (201) 686-8640
- Fax
- (212) 216-6606
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340364 | NY | Primary |
Addresses
Primary practice location
1 Penn PLZ
8TH Floor
New York, NY 10119-0002
Mailing address
1 Penn PLZ
8TH Florr
New York, NY 10119-0002
Phone (201) 686-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1508917493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "8TH FLORR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "201-686-8640",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "201-686-8640",
"fax_number": "212-216-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTREPO",
"first_name": "ADRIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Tanina Marie Restivo, LMSW
- Restorative Psychiatry, a Professional Nursing Corporation
- Restore Nyc, Inc.
- Restore Performance Physical Therapy, PLLC
- Restorerehab Physical Therapy, P.C.
- Cindy Maria Restrepo, RN
- David R Restrepo, PHARMACIST
- Estefani Restrepo, LMSW
- Guillermo Restrepo, PA
- Maria Camila Restrepo, LMHC-D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.