JADICA ALEXIS MARRERO


Address: 100 Einstein Loop Apt 23g, Bronx, NY 10475-4948
Phone: 9292334490

JADICA ALEXIS MARRERO (NPI# 1922559608) 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) 1922559608
Entity Type Individual
Full Name JADICA ALEXIS MARRERO
Credential PARAPROFESSIONAL
Practice Address 100 Einstein Loop Apt 23g
Bronx
NY 10475-4948
Practice Telephone 9292334490
Mailing Telephone 9292334490
Enumeration Date 2016-10-18
Last Update Date 2016-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
NY Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY IDENTIFICATION CARD 984670396 01
NY EMBLEM HIP JUN90010T01 01

Office Location

Street Address 100 EINSTEIN LOOP APT 23G
City BRONX
State NY
Zip Code 10475-4948

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1740719152 Nadia S Etienne Licensed Practical Nurse 120 De Kruif Place, Apt 18h, Bronx, NY 10475 2017-06-08
1407385891 Ashley N Freeze Case Manager/Care Coordinator 140 Darrow Place Suite 24e, Bronx, NY 10475 2017-06-08
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669846143 Marsha Moona Technician, Pathology 1263 Fteley Ave, Bronx, NY 10472-2801 2015-11-19
1679056642 Djenabou Bah Technician, Pathology 391 E 149th St Rm 417, Bronx, NY 10455-3907 2018-09-14
1689034654 Walter Xavier Zavala-salas Technician, Pathology 593 E Tremont Ave, Bronx, NY 10457 2016-03-03
1003280470 Stanley Seetaram Technician, Pathology 1263 Fteley Ave, Bronx, NY 10472-2801 2015-11-21
1093155723 Zenobia M Colon Technician, Pathology 804 E 138th St, Bronx, NY 10454-1902 2013-06-26
1992142103 Kam D Brookins Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2013-05-29
1558655084 Kirsis Medina Technician, Pathology 2052 Tillotson Ave, 101, Bronx, NY 10475-1560 2011-06-01
1174836449 Nydia Lopez Technician, Pathology 260 E 161st St, Bronx, NY 10451-3512 2010-07-15
1588977979 Darryl S Allen Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2010-07-14
1851603252 Diana Valentin Technician, Pathology 1510 Waters Pl, Bronx, NY 10461-2700 2010-07-14
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Competitor

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City BRONX
Zip Code 10475

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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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