MARIANTHA JOCKLIN HARRIS (NPI# 1275615973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275615973 |
| Entity Type | Individual |
| Full Name | MARIANTHA JOCKLIN HARRIS |
| Credential | PA |
| Practice Address |
1064 Franklin Ave Bronx NY 10456-6704 |
| Mailing Address |
3542 Tryon Ave #3 Bronx NY 10467-1527 |
| Practice Telephone | 7187641592 |
| Mailing Telephone | 7186521037 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003547-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
003547-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1064 FRANKLIN AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659393510 | Grace Nwakaego Onovo | Family Medicine | 1064 Franklin Ave, Basics Ambulatory Clinic, Bronx, NY 10456 | 2006-07-23 |
| 1235740614 | Wilfredo Acevedo | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2020-08-11 |
| 1447806005 | Kenrick Sinclair Hawthorne Jr. | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2019-08-09 |
| 1275187783 | Susan John | Rehabilitation Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2019-08-01 |
| 1417501925 | Shanna Hinds | Rehabilitation Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2019-08-01 |
| 1215405204 | Charles Brown | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1487122560 | Jesse Martin | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1982172961 | Yenia Vasquez | Social Worker | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1053889139 | Maria Palmer | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1578031563 | Nicole Hornbuckle | Licensed Practical Nurse | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242319 | Leonard Ohene Takyi | Physician Assistant | 4180 Hutchinson River Pkwy E Apt 8c, Bronx, NY 10475-4826 | 2019-12-16 |
| 1669018032 | Natasha Kodua | Physician Assistant | 140 Asch Loop Apt 9e, Bronx, NY 10475-4040 | 2019-11-20 |
| 1073158010 | Abdoulaye Diallo | Physician Assistant | 1223 Tinton Ave Fl 3, Bronx, NY 10456-3673 | 2019-11-13 |
| 1538703954 | Frank Owusu | Physician Assistant | 500 E 165th St Apt 2e, Bronx, NY 10456-6658 | 2019-10-29 |
| 1629534649 | David A Rivera | Physician Assistant | 2105 Cruger Ave Apt 3g, Bronx, NY 10462-2363 | 2019-02-14 |
| 1679037980 | Ryan Patrick Garrow | Physician Assistant | 1200 Waters Pl Ste M108, Bronx, NY 10461-0367 | 2019-01-31 |
| 1336603331 | Joseph A Sanchez | Physician Assistant | 6 Ploughmans Bush, Bronx, NY 10471-3541 | 2019-01-24 |
| 1639651581 | Aaron Sosa | Physician Assistant | Tower 1, 1250 Waters Pl 11th Fl, Bronx, NY 10461 | 2018-09-06 |
| 1275032542 | Ahmed Mahir | Physician Assistant | 32 Westchester Sq, Bronx, NY 10461-3514 | 2018-02-01 |
| 1730601113 | Alexandra Taylor Martin | Physician Assistant | 661 King Avenue, Bronx, NY 10464 | 2017-07-07 |
| Find all providers in BRONX | ||||
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| 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.