JESSICA GONG (NPI# 1285257279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285257279 |
| Entity Type | Individual |
| Full Name | JESSICA GONG |
| Practice Address |
1775 Grand Concourse Fl 6 Bronx NY 10453-8202 |
| Practice Telephone | 7189018410 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649702390 | Jessica Gong | Pharmacist | 300 Pullman St, Livermore, CA 94551-9756 | 2017-03-31 |
| Street Address |
1775 GRAND CONCOURSE FL 6 |
| City | BRONX |
| State | NY |
| Zip Code | 10453-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472143 | Michelle Yan- Nagamatsu | Physical Therapist | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2008-10-21 |
| 1386251015 | Nisarg Patel | Physical Therapist | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-09-27 |
| 1285251199 | Huda Ibrahim | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-06-26 |
| 1467076919 | Robyn Paige Hemmings | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-06-01 |
| 1205450780 | Hanna Garber | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-06-01 |
| 1144844770 | Swetha Sathasivam | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-05-29 |
| 1629692322 | Vivek Bhatty | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-05-29 |
| 1427671247 | Enoch Kim | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-05-27 |
| 1639792674 | Lisa Belle Perlow | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-05-26 |
| 1386267367 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151041 | Islam Moheisen | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 | 2020-10-15 |
| 1942814710 | Wai Bun Liew | Student in an Organized Health Care Education/Training Program | 234 E 149th St Ste 2a8, Bronx, NY 10451-5504 | 2020-08-31 |
| 1013520444 | Aireni A Sterling Lachapel | Student in an Organized Health Care Education/Training Program | 3212 Decatur Ave Apt 3a, Bronx, NY 10467-4223 | 2020-08-25 |
| 1023629748 | Shellsea Portillo Canales | Student in an Organized Health Care Education/Training Program | 4222 3rd Ave, Bronx, NY 10457-4502 | 2020-08-14 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1962012161 | Yinelka Grisel Silverio De Castro | Student in an Organized Health Care Education/Training Program | 234 E 149th St Dept Internal, Bronx, NY 10451-5504 | 2020-08-03 |
| 1164031316 | Patrick Michael Biskupski | Student in an Organized Health Care Education/Training Program | 234 E 149th St Fl 8, Bronx, NY 10451-5504 | 2020-07-23 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1598373615 | Sharan Mirchandani | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave Bldg 4th, Bronx, NY 10457-2545 | 2020-07-15 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
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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.