MS. JATOOPON MALDONADO


Address: 31 Scouting Blvd, Medford, NY 11763-2220
Phone: 6314366065

MS. JATOOPON MALDONADO (NPI# 1265927974) 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) 1265927974
Entity Type Individual
Full Name MS. JATOOPON MALDONADO
Practice Address 31 Scouting Blvd
Medford
NY 11763-2220
Mailing Address Po Box 509
Deer Park
NY 11729-0509
Practice Telephone 6314366065
Enumeration Date 2018-06-25
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402752 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 31 SCOUTING BLVD
City MEDFORD
State NY
Zip Code 11763-2220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073940276 Eric S Lewald Social Worker 31 Scouting Blvd, Medford, NY 11763-2220 2013-10-02

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1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1811246879 Deborra M. Torres, Msn, Pmhnp, LLC Nurse Practitioner 5 N Main St Ste A, Medford, NJ 08055-2439 2012-09-06
1518013705 Susan Wrona Nurse Practitioner 14 Cottage St, Medford, OR 97504-7332 2007-01-28
1558442061 Pamela Jean Rivera Nurse Practitioner 15 Crater Lake Ave, Medford, OR 97504-7444 2006-10-18
1164538096 Kevan Joyce Olson Nurse Practitioner 255 W Stewart Ave Ste 101, Medford, OR 97501-3600 2006-08-22
1851325252 Ruth E Koch Nurse Practitioner 31 Industrial Boulevard, Yaphank Center, Medford, NY 11763 2006-07-10
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1366927220 Helena Frances Turner Nurse Practitioner 900 E Main St, Medford, OR 97504-7136 2018-09-26
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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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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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