Active NPI
Wilson Melecio Albarracin II
- Student in an Organized Health Care Education/Training Program
- Jamaica, NY
National Provider Identifier
1770012262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 161-10 Jamaica Ave 2ND FL
Jamaica, NY 11432 - Phone
- (718) 704-5488
- Fax
- (718) 704-5486
- NPI assigned
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
161-10 Jamaica Ave 2ND FL
Jamaica, NY 11432
Mailing address
87-65 96TH St.
Woodhaven, NY 11421
Phone (646) 291-7480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U0174136803 | Medicaid | NY |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1770012262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87-65 96TH ST.",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "11421",
"telephone_number": "646-291-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161-10 JAMAICA AVE 2ND FL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-704-5488",
"fax_number": "718-704-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBARRACIN",
"first_name": "WILSON",
"middle_name": "MELECIO",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "U0174136803",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.