MR. JOHN RICARDO JIMENEZ (NPI# 1982965059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982965059 |
| Entity Type | Individual |
| Full Name | MR. JOHN RICARDO JIMENEZ |
| Practice Address |
83 Pinewood Ave Central Islip NY 11722-3213 |
| Practice Telephone | 6317616029 |
| Mailing Telephone | 6317616029 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922196872 | John J Jimenez | Dentist | 4831 Soquel Dr, Soquel, CA 95073 | 2006-10-10 |
| 1518286137 | John A Jimenez | Psychiatry & Neurology | 2250 Alcazar St, Csc Building, Suite 2200, Los Angeles, CA 90033 | 2010-05-21 |
| 1730313388 | John B Jimenez | Student in an Organized Health Care Education/Training Program | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2009-05-12 |
| 1457419129 | John Frederick Jimenez | Dentist | 3360 Lacrosse Ln, Suite #100, Naperville, IL 60564-8136 | 2006-12-05 |
| 1386685436 | John Ruben Jimenez | Social Worker | 4700 Spring St, Suite 220, La Mesa, CA 91941-5274 | 2006-06-09 |
| 1891733184 | John Lawrence Jimenez | Anesthesiology | 45 Ne Loop 410, Suite 900, San Antonio, TX 78216-5831 | 2006-06-02 |
| Street Address |
83 PINEWOOD AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526185 | Pamela Bettes | Specialist/Technologist | 1650 Islip Avenue, Central Islip, NY 11722 | 2019-06-07 |
| 1306386537 | Rosetta Emille | Counselor | 421 Smith Street, Central Islip, NY 11722 | 2017-03-07 |
| 1194190850 | Muili Adebayo Awotorebo | Licensed Practical Nurse | 25 Cedar Street, Central Islip, NY 11722 | 2015-12-07 |
| 1841625613 | Valerie Chamberlain | Social Worker | 1832 Finch Ln, Central Islip, NY 11722 | 2013-09-11 |
| 1427307529 | Nicole Loibl | Pharmacist | 160 North Research Place, Central Islip, NY 11722 | 2012-09-05 |
| 1396053203 | Stephanie L Urban | Counselor | 115 Glenmore Avenue, Central Islip, NY 11722 | 2010-09-14 |
| 1487982914 | Christine Rosemarie Campbell | Counselor | 1499 Islip Ave, Central Islip, NY 11722 | 2009-11-20 |
| 1144454315 | Farah Kennedy | Licensed Practical Nurse | 67 Woodland Ave, Central Islip, NY 11722 | 2009-05-04 |
| 1366618563 | Lucretia Cory Banks | Licensed Practical Nurse | 14 Walnut Street, Central Islip, NY 11722 | 2008-05-07 |
| 1134391097 | Donna Maria Ortiz Orulepe | Licensed Vocational Nurse | 70 Pinewood Ave, Central Islip, NY 11722 | 2008-03-31 |
| Find all providers in zip 11722 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053427 | Alison Hansson | Specialist | 725 Kirkland Ct, Central Islip, NY 11722-4486 | 2017-03-05 |
| 1104376763 | Elizabeth Andreassi | Specialist | 1888 Joshuas Path, Central Islip, NY 11722-1815 | 2016-10-07 |
| 1013397579 | Denise Dolores Kelly | Specialist | 40 Feller Dr, Central Islip, NY 11722-1210 | 2015-05-31 |
| 1205243581 | Katrina N Crawford | Specialist | 110 E Suffolk Ave, # 255, Central Islip, NY 11722-2440 | 2014-07-17 |
| 1588090872 | Tonya Alston- Sutton | Specialist | 7 Clubhouse Cir, Central Islip, NY 11722-4660 | 2013-09-19 |
| 1912245986 | Sharon Levenson | Specialist | 71 Sprucewood Blvd, Central Islip, NY 11722-4622 | 2013-01-24 |
| 1932463700 | Mariela Gallucci | Specialist | 8 Mcfarland Ave, Central Islip, NY 11722-4158 | 2012-06-27 |
| 1245592039 | Tyneik Duncan | Specialist | 246 Feller Dr, Central Islip, NY 11722-1214 | 2012-06-08 |
| 1609827385 | Thomas H Sarc | Specialist | 9 Cherry St, College Woods, Central Islip, NY 11722-4105 | 2006-05-15 |
| 1972994408 | Priscah Musonza | Specialist | 172 Tree Ave, Central Islip, NY 11722-3546 | 2015-02-05 |
| Find all providers in CENTRAL ISLIP | ||||
| City | CENTRAL ISLIP |
| Zip Code | 11722 |
Please comment or provide details below to improve the information on MR. JOHN RICARDO JIMENEZ.
| 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.