JACOB MAURO DOMINGUEZ (NPI# 1982122628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982122628 |
| Entity Type | Individual |
| Full Name | JACOB MAURO DOMINGUEZ |
| Credential | LPN |
| Practice Address |
223 Brook Av Bronx NY 10454 |
| Mailing Address |
223 Brook Ave Bronx NY 10454-4106 |
| Practice Telephone | (718) 541-5218 |
| Mailing Telephone | 7185415218 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 329762 | NY | Nursing Service Providers |
| Street Address |
223 BROOK AV |
| City | BRONX |
| State | NY |
| Zip Code | 10454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| 1154639466 | Kenisha Lyttleton | Registered Nurse | 615 E 141 St, Bronx, NY 10454 | 2010-09-21 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on JACOB MAURO DOMINGUEZ.
| 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.