Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Juan Gaetan, CPNP-PC

Individual provider Registered Nurse · NPI 1730165192

Mr. Juan Gaetan, CPNP-PC is a Registered Nurse in Jamaica, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2

Practice location Address checks out

82-68 164th St Dept OF Emergency Medicine
Jamaica, NY 11432-1121
Phone: (718) 883-3075
Fax: (718) 883-6115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F381315 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 466314 (NY)

Record details

NPI number1730165192
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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