PERCY J. JIMENEZ (NPI# 1396399515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396399515 |
Entity Type | Individual |
Full Name | PERCY J. JIMENEZ |
Practice Address |
23 Beekman St Staten Island NY 10302-2006 |
Practice Telephone | 3473193009 |
Mailing Telephone | 3473193009 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
TTC-III-07-03-69 | PR | Behavioral Health & Social Service Providers |
Street Address |
23 BEEKMAN ST |
City | STATEN ISLAND |
State | NY |
Zip Code | 10302-2006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
Find all providers in zip 10302 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114465564 | Diana Ballard | Counselor | 510 Travis Ave, Staten Island, NY 10314-6154 | 2017-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518579705 | Miguel H Jorge | Counselor | 303 125th St, College Point, NY 11356-1227 | 2020-08-19 |
1629686282 | Sharon Klein Lcsw PC | Counselor | 2158 Willow St, Wantagh, NY 11793-4223 | 2020-07-20 |
1588296438 | Viviana Marcel Ruiz | Counselor | 25851 Keyser Rd, Evans Mills, NY 13637-3133 | 2020-02-09 |
1912538802 | Mary Cordelia Myers | Counselor | 946 Oregon Trl, Pine Bush, NY 12566-5325 | 2020-01-29 |
1639725260 | Thomas A Shaw | Counselor | 482 Main St Ste B, Franklin, NY 13775-7709 | 2019-08-09 |
1316417298 | Sharon Gaines | Counselor | 45 Etville Ave, Yonkers, NY 10703-1104 | 2018-12-04 |
1447745062 | Richard M. Lawless | Counselor | 860 Montauk Highway, Building 1, Water Mill, NY 11976 | 2018-06-26 |
1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
1598273492 | Titilayo C Akindayomi-adewale | Counselor | 10 Lockwood Ave, New Rochelle, NY 10801-5001 | 2018-01-14 |
1962851360 | Joy Pellegrino | Counselor | 715 Old Kensico Rd, Thornwood, NY 10594-2306 | 2016-06-07 |
Find all providers with the same taxonomy |
City | STATEN ISLAND |
Zip Code | 10302 |
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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.