DR. JONATHAN DAVID JIMENEZ (NPI# 1407237050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407237050 |
Entity Type | Individual |
Full Name | DR. JONATHAN DAVID JIMENEZ |
Credential | D.O |
Practice Address |
78 E 16th St Paterson NJ 07524-1513 |
Practice Telephone | 9732790755 |
Mailing Telephone | 9732790755 |
Enumeration Date | 2015-06-09 |
Last Update Date | 2015-06-09 |
Gender Code | M |
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 | J44234096407892 | NJ | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982261152 | Jonathan Jimenez | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2019-05-23 |
1891182622 | Jonathan Jimenez | Family Medicine | 1551 Maryland Ave Ne, Washington, DC 20002-7604 | 2015-04-20 |
Street Address |
78 E 16TH ST |
City | PATERSON |
State | NJ |
Zip Code | 07524-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235108135 | Rafael Paz | Family Medicine | 424 River St, Paterson, NJ 07524 | 2006-03-15 |
1306254321 | Superior Care Ambulance Services | Ambulance | 25 E 19th St, Paterson, NJ 07524-1307 | 2014-07-23 |
1316138019 | Alpha Care Ambulance Corp | Ambulance | 21 E 19th St, Paterson, NJ 07524-1307 | 2007-08-07 |
1164032652 | Jared Tactuk | Social Worker | 70 E 16th St Fl 1, Paterson, NJ 07524-1513 | 2020-08-09 |
1497252274 | Carlos Lenin Pena Diaz | Specialist/Technologist, Other | 69 3rd Ave, Paterson, NJ 07524-1530 | 2018-04-09 |
1922386812 | Julio C Baquerizo | Nurse Practitioner | 555 River St, Paterson, NJ 07524-1766 | 2011-07-27 |
1205107125 | Carlos Bruno | Durable Medical Equipment & Medical Supplies | 87 Butler St Apt 3, Paterson, NJ 07524-1778 | 2012-01-24 |
1750488680 | Carmens Pharmacy & Medical Supplies Inc | Pharmacy | 418 River St, Paterson, NJ 07524-1902 | 2006-09-20 |
1740500370 | Eugene P Pierinelli | Pharmacist | 418 River St, Paterson, NJ 07524-1902 | 2010-06-05 |
1053412585 | La Nueva Mercedes Inc. | Pharmacy | 500 River St, Paterson, NJ 07524-1903 | 2006-09-26 |
Find all providers in zip 07524 |
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 |
---|---|---|---|---|
1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
1790205201 | Anish Jayesh Shah | Student in an Organized Health Care Education/Training Program | 703 Main St # A1403, Paterson, NJ 07503-2621 | 2017-06-26 |
1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
1720327075 | John P Holland Charter School | Student in an Organized Health Care Education/Training Program | 190 Oliver St, Paterson, NJ 07501-1816 | 2013-02-06 |
1295001261 | Mohammed Motaharul Huq | Student in an Organized Health Care Education/Training Program | 367 Edmund Ave, 1st Fl, Paterson, NJ 07502-1313 | 2012-03-23 |
1073714424 | Kamal Hosni Al-rabi | Student in an Organized Health Care Education/Training Program | 100 Hospital Plz Apt 901, Paterson, NJ 07503-3053 | 2007-05-31 |
1083824999 | Sripriya Krishnamoorthy | Student in an Organized Health Care Education/Training Program | 200 Hospital Plz, #104, Paterson, NJ 07503-3072 | 2007-05-23 |
1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
Find all providers in PATERSON |
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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.