Active NPI
Mary Jill Garcisto Dela Fuente
- Registered Nurse
- Forest Hills, NY
National Provider Identifier
1831611466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 544798
- Practice address
- 10106 67TH Dr Apt LF
Forest Hills, NY 11375-2775 - Phone
- (718) 255-1026
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 544798 | NY | Primary |
Addresses
Primary practice location
10106 67TH Dr Apt LF
Forest Hills, NY 11375-2775
Mailing address
10106 67TH Dr Apt LF
Forest Hills, NY 11375-2775
Phone (718) 255-1026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 544798 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831611466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10106 67TH DR APT LF",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752775",
"telephone_number": "718-255-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10106 67TH DR APT LF",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752775",
"telephone_number": "718-255-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA FUENTE",
"first_name": "MARY JILL",
"middle_name": "GARCISTO",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "544798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.