JOSE L. MEDINA (NPI# 1265801286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265801286 |
| Entity Type | Individual |
| Full Name | JOSE L. MEDINA |
| Credential | CASAC |
| Practice Address |
1285 Fulton Ave Bronx NY 10456-3401 |
| Practice Telephone | 7185183700 |
| Mailing Telephone | 7185183700 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17940 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537107 | Jose German Medina | Specialist/Technologist, Other | 10881 Nw 75th St, Medley, FL 33178-2206 | 2018-11-13 |
| 1396022562 | Jose Luis Medina | Community/Behavioral Health | 106 W 53rd St Apt 26, Bayonne, NJ 07002-3356 | 2011-11-15 |
| 1811029143 | Jose F Medina | General Practice | 18 Calle Bou, Barrio Pueblo, Corozal, PR 00783-2011 | 2007-03-12 |
| 1417944513 | Jose Medina | Internal Medicine | 3334 Greystone Way, Valdosta, GA 31605 | 2005-10-04 |
| 1821551748 | Jose Sebastian Medina | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2019-04-08 |
| 1922519487 | Jose Javier Medina | Marriage & Family Therapist | 3301 E 12th St, Oakland, CA 94601-3424 | 2017-10-23 |
| 1841643954 | Jose Ernesto Medina | Counselor | 3117 Wilson Rd, Bakersfield, CA 93304-5319 | 2016-07-14 |
| 1922404805 | Jose Medina | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-11-05 |
| 1720302466 | Jose Medina | Physician Assistant | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2010-03-24 |
| 1841431087 | Jose Miguel Medina | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2009-03-18 |
| Street Address |
1285 FULTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10456-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649341314 | Mariano Delpilar | Social Worker | 1285 Fulton Ave, Life Recovery Center Bronx Lebanon Center, Bronx, NY 10456-3401 | 2006-11-13 |
| 1043660376 | Leigh-ann Borriello | Social Worker | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2016-06-17 |
| 1730558529 | Frank Soto | Counselor | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-09-22 |
| 1972996080 | Juliette Christine Meyreles | Social Worker | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-03-13 |
| 1578955951 | Bronx Lebanon Hospital Life Recovery Center | Clinic/Center | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-02-23 |
| 1528460011 | Gina Kijek | Music Therapist | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2014-09-16 |
| 1669887188 | Samantha A. Elhyani | Social Worker | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2014-06-23 |
| 1407151632 | Alicia Michelle Wiggins | Family Medicine | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2011-01-19 |
| 1407094246 | Demetria Nelson | Social Worker | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1013528512 | Koly J. Guilavogui | Counselor | 770 E 176th St Ste 315, Bronx, NY 10460-4617 | 2020-08-10 |
| 1881218063 | Courtney Follweiler | Counselor | 609 Kappock St Apt 5c, Bronx, NY 10463-7777 | 2020-06-03 |
| 1053953430 | Juventino Diez | Counselor | 165 Mermaid Ln, Bronx, NY 10473-2499 | 2019-10-17 |
| 1154983336 | David Matthew Logan | Counselor | 1175 Grand Concourse Fl 8, Bronx, NY 10452-8549 | 2019-07-08 |
| 1801374038 | Cheryl Edmond | Counselor | 1523 Jarvis Ave, Bronx, NY 10461-5604 | 2018-07-31 |
| 1437662855 | Marion L Ogunusi | Counselor | 1910 Arthur Ave Fl 4, Bronx, NY 10457-6305 | 2017-11-07 |
| 1790203818 | Naimah Nazirah Singleton | Counselor | 480 E 188th St Apt 6a, Bronx, NY 10458-5823 | 2017-09-08 |
| 1619494705 | Joshua Barnes | Counselor | 1910 Arthur Ave Fl 7, Bronx, NY 10457-6305 | 2017-08-29 |
| Find all providers in BRONX | ||||
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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.