Individual provider Active NPI

Juliana Fontenele Bizerril-Williams

  • Medical Physician Assistant
  • Bronx, NY
National Provider Identifier
1710310313
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016809-1 Issued in NY
Practice address
267A W 231St St
Bronx, NY 10463-3903
Phone
(718) 432-8282
NPI assigned
Aug 19, 2013
Last updated
May 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016809-1 NY Primary

Addresses

Primary practice location

267A W 231St St
Bronx, NY 10463-3903

Mailing address

267A W 231St St
Bronx, NY 10463-3903
Phone (718) 432-8282

Other names 1

  • Juliana Fontenele Bizerril Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306002668 NY Practitioner - Physician Assistant 1951747534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016809-1NYMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1710310313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267A W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633903",
            "telephone_number": "718-432-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267A W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633903",
            "telephone_number": "718-432-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZERRIL-WILLIAMS",
        "first_name": "JULIANA",
        "middle_name": "FONTENELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016809-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "BIZERRIL WILLIAMS",
            "middle_name": "FONTENELE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.