Frederick Yabut Villareal, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22 580183 Issued in NY

Practice address

423 E 23Rd St
New York, NY 10010-5011

Phone

(917) 923-0536

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Derek Villareal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1881884229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E ELIZABETH AVE APT 406",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363168",
            "telephone_number": "917-923-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011",
            "telephone_number": "917-923-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAREAL",
        "first_name": "FREDERICK",
        "middle_name": "YABUT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431496",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 580183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "VILLAREAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bianca M Villar, FNP
• Junelis Villar
• Melba Villar, LMSW
• Karla Villaraus
• Jorge Villard, M.D.
• Jose M. Villarin, M.D.
• Joseph Manuel Villarin
• Teresita Villarosa, NP
• Graziella M Villarreal Garza, CMI
• Jason Gerard Villarreal, N.P.

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.