Kevin Avila Barrios, NP

Individual provider Active NPI Adult Health Nurse Practitioner · Oakland Gardens, NY

NPI 1538030853 · NPPES record last updated Sep 26, 2025

Key facts

NPI
1538030853
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
312349 (NY)
Practice address
21109 73Rd Ave # a
Oakland Gardens, NY 11364-2849
Phone
(516) 559-2385
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
312349NYMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312349 NY Yes

Addresses

Primary practice location

21109 73Rd Ave # a
Oakland Gardens, NY 11364-2849

Mailing address

21109 73Rd Ave # a
Oakland Gardens, NY 11364-2849
Phone (516) 559-2385

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Adult Health Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.