JESSICA PACIFICO


Address: 110 E 210th St, Bronx, NY 10467-2402
Phone: 7189204321

JESSICA PACIFICO (NPI# 1164785069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164785069
Entity Type Individual
Full Name JESSICA PACIFICO
Practice Address 110 E 210th St
Bronx
NY 10467-2402
Practice Telephone 7189204321
Enumeration Date 2012-06-17
Last Update Date 2020-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 280295 NY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 110 E 210TH ST
City BRONX
State NY
Zip Code 10467-2402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528067964 Claudia L Chang Physician Assistant 110 E 210th St, Bronx, NY 10467-2402 2005-07-19
1326677436 Aron Y Soleiman Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2020-04-02
1003375908 Michelle Chen Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2019-03-19
1952803694 Nathaniel Owen Reimers Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2018-03-07
1467808626 Ariel Peleg Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2016-05-06
1407260896 Manaf Assafin Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2014-06-13
1386902732 Elaina Dellacava Student in an Organized Health Care Education/Training Program 110 E 210th St, Bronx, NY 10467-2402 2012-04-23
1376776138 Jacob Baruch Kowenski Obstetrics & Gynecology 110 E 210th St, Bronx, NY 10467-2402 2009-08-27
1063484087 Myrian Mercedes Alea Pediatrics 110 E 210th St, Bronx, NY 10467 2006-02-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164020012 Rr Medical Office Pllc Internal Medicine 1447 Zerega Ave, Bronx, NY 10462-5411 2020-10-13
1619574126 Throggs Neck Medical Pllc Internal Medicine 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 2020-10-07
1144794314 Mohammed Shofiullah Shibli Internal Medicine 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 2019-01-21
1740781905 Bk Medical Care P.c Internal Medicine 2000 Mcgraw Ave, Bronx, NY 10462-8070 2018-02-23
1043738586 Diabetes Relief Center of Bronx Mso LLC Internal Medicine 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 2017-09-05
1790137388 Sabrina Brana Internal Medicine 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 2016-07-07
1386096345 Christopher James Brana Internal Medicine 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 2016-07-01
1982068078 Silvio Goris Internal Medicine 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 2016-04-05
1710349816 Rikhil S Kochhar Internal Medicine 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 2016-03-28
1841656857 Heracles Medical PC Internal Medicine 2825 Third Ave, Suite 7, Bronx, NY 10455 2016-01-06
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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