Individual provider Active NPI

Eljin Aguila, RN, CIC

  • Infection Control Registered Nurse
  • Little Neck, NY
National Provider Identifier
1780357236
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
676030 Issued in NY
Practice address
25217 60TH Ave
Little Neck, NY 11362-2423
Phone
(347) 592-6517
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 676030 NY Primary

Addresses

Primary practice location

25217 60TH Ave
Little Neck, NY 11362-2423

Mailing address

25217 60TH Ave
Little Neck, NY 11362-2423
Phone (347) 592-6517

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hcsauth.health.ny.gov/hcsauthenticationendpoint/login.do?RelayState=%2Fhcs%2Findex.html&comm Health Information Exchange (HIE) New York City Department of Health & Mental Hygiene

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
676030NYMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1780357236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25217 60TH AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622423",
            "telephone_number": "347-592-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25217 60TH AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622423",
            "telephone_number": "347-592-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "ELJIN",
        "credential": "RN, CIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NY",
            "license": "676030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hcsauth.health.ny.gov/hcsauthenticationendpoint/login.do?RelayState=%2Fhcs%2Findex.html&comm",
            "affiliation": "Y",
            "endpointDescription": "Secure File Transfer of New York State Department of Health",
            "affiliationName": "New York City Department of Health & Mental Hygiene",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure File Transfer of New York State Department of Health",
            "address_1": "25217 60th Ave",
            "city": "Little Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113622423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.