JORGE DAVID PAGAN JR. (NPI# 1659926731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659926731 |
| Entity Type | Individual |
| Full Name | JORGE DAVID PAGAN JR. |
| Credential | LPN |
| Practice Address |
203 Gramatan Ave Ste A Mount Vernon NY 10550-1291 |
| Practice Telephone | 9142024830 |
| Practice Fax Number | 9142024834 |
| Mailing Telephone | 9142024830 |
| Mailing Fax Number | 9142024834 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 333300 | NY | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Bronxdale Ave Ste 207, Bronx, NY 10462 | 7188633300 | |
| 3058 Cross Bronx Expy # 2, Bronx, NY 104652453 | 3476363317 | 3473988043 |
| Street Address |
203 GRAMATAN AVE STE A |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390522 | Elizabeth Kuriakose | Physician Assistant | 203 Gramatan Ave Ste A, Mount Vernon, NY 10550-1291 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| 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 |
|---|---|---|---|---|
| 1255947867 | Ruth Okwaji | Licensed Practical Nurse | 624 Hanover Pl, Mount Vernon, NY 10552-3807 | 2020-09-18 |
| 1861007205 | Michelle M Robinson | Licensed Practical Nurse | 151 E Prospect Ave Apt 3f, Mount Vernon, NY 10550-2232 | 2020-09-12 |
| 1891303707 | Kahlia Hylton | Licensed Practical Nurse | 120 W Kingsbridge Rd, Mount Vernon, NY 10550-4817 | 2020-07-16 |
| 1487274809 | Suzette P Forbes | Licensed Practical Nurse | 300 E Prospect Ave Apt 2b, Mount Vernon, NY 10553-1025 | 2020-04-27 |
| 1235761388 | Anika Nelson | Licensed Practical Nurse | 420 S 9th Ave, Mount Vernon, NY 10550-4302 | 2020-02-06 |
| 1467099713 | Lemar Anthony Gordon | Licensed Practical Nurse | 41 S Bleeker St Apt 1, Mount Vernon, NY 10550-2629 | 2019-12-05 |
| 1295389807 | Chanell Toni Smith | Licensed Practical Nurse | 64 Sycamore Ave, Mount Vernon, NY 10553-1216 | 2019-07-31 |
| 1528610219 | Montrice Pitter | Licensed Practical Nurse | 2 S Macquesten Pkwy, Mount Vernon, NY 10550-1731 | 2019-07-12 |
| 1881257335 | Shanya Bennett | Licensed Practical Nurse | 205 S Columbus Ave Apt C4, Mount Vernon, NY 10553-1531 | 2019-04-19 |
| 1285191098 | Kimberlin Hunt | Licensed Practical Nurse | 431 Homestead Ave Fl 2, Mount Vernon, NY 10553-1912 | 2019-02-28 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
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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.