MR. JOSE MEDINA (NPI# 1720302466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720302466 |
| Entity Type | Individual |
| Full Name | MR. JOSE MEDINA |
| Credential | PA |
| Practice Address |
81 Willoughby St 4th Floor Brooklyn NY 11201-5291 |
| Practice Telephone | 7185223399 |
| Practice Fax Number | 7185221888 |
| Mailing Telephone | 7185223399 |
| Mailing Fax Number | 7185221888 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6801300 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE# | 6801300 | 01 |
| 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 |
| 1265801286 | Jose L. Medina | Counselor | 1285 Fulton Ave, Bronx, NY 10456-3401 | 2015-09-21 |
| 1922404805 | Jose Medina | Counselor | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2014-11-05 |
| 1841431087 | Jose Miguel Medina | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2009-03-18 |
| Street Address |
81 WILLOUGHBY ST 4TH FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538261466 | Downtown Diagnostic Imaging | Radiology | 81 Willoughby St, Brooklyn, NY 11201-5291 | 2006-09-01 |
| 1770918088 | Cardiology Solutions, Pllc | Internal Medicine | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2013-09-05 |
| 1720351703 | Eric S Dessner Md PC | Ophthalmology | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2012-02-21 |
| 1851603575 | Regina Kogan | Obstetrics & Gynecology | 81 Willoughby St, Dmitry Bronfman Md, Att. Regina Kogan, Brooklyn, NY 11201-5291 | 2010-07-10 |
| 1144547092 | Krutiben Jayantilal Makani | Physical Therapist | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2010-04-30 |
| 1619138740 | Durable Medical Supplies of Ny, Inc | Durable Medical Equipment & Medical Supplies | 81 Willoughby St, Suite 101 A, Brooklyn, NY 11201-5291 | 2008-06-20 |
| 1912178518 | Hands Health Pt | Specialist | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2008-03-22 |
| 1295911006 | Lisa Mcleod | Rehabilitation Practitioner | 81 Willoughby St, Brooklyn, NY 11201-5291 | 2008-01-11 |
| 1699963009 | Downtown Medical Services PC | Specialist | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2007-10-10 |
| 1861686545 | Eric S Dessner | Ophthalmology | 81 Willoughby St, 4th Floor, Brooklyn, NY 11201-5291 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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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.