JONATHAN DILLERA NIETES


Address: 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609
Phone: 9179826498

JONATHAN DILLERA NIETES (NPI# 1972104958) 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) 1972104958
Entity Type Individual
Full Name JONATHAN DILLERA NIETES
Credential MSN, AGPC NP
Practice Address 4411 Macnish St Apt 1g
Elmhurst
NY 11373-3609
Practice Telephone 9179826498
Mailing Telephone 9179826498
Enumeration Date 2020-11-05
Last Update Date 2020-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F309611 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4411 MACNISH ST APT 1G
City ELMHURST
State NY
Zip Code 11373-3609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152736 Carlos Eduardo Hallo Carrasco Student in an Organized Health Care Education/Training Program 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 2020-07-30
1912524034 Jurian Feygen Kaunang Student in an Organized Health Care Education/Training Program Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 2020-07-06
1407471352 Shreeya Parajull Student in an Organized Health Care Education/Training Program 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 2020-06-16
1114542479 Mahmud Omar Elfituri Student in an Organized Health Care Education/Training Program 79-01 Boradway, Elmhurst, NY 11373 2020-06-12
1568091452 Nudjarin Unsin Licensed Practical Nurse 7517 41stave, Apt.f3, Elmhurst, NY 11373 2020-04-03
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1821647926 Shahorin Monzoor Student in an Organized Health Care Education/Training Program 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 2019-09-11
1174184600 Zoila Josefina Cano Rodriguez Student in an Organized Health Care Education/Training Program 7802 41st Ave, Elmhurst, NY 11373 2019-06-25
1891355756 Kanghee Cho Registered Nurse 4143 77th St Elmhurst, Elmhurst, NY 11373 2019-06-13
1861971947 Allen G Luke Acupuncturist 86-21 53 Ave, Elmhurst, NY 11373 2018-08-09
Find all providers in zip 11373

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114478476 Tsering Lhamo Nurse Practitioner 9030 53rd Ave Apt 3, Elmhurst, NY 11373-4540 2016-10-20
1366997363 Ying Chen Nurse Practitioner 8833 51st Ave, Apt 2b, Elmhurst, NY 11373-3978 2016-08-18
1356717342 Moisey Simkhayev Nurse Practitioner 4047 95th St Apt B, Elmhurst, NY 11373 2015-08-13
1508259722 Hyun Ji Choi Nurse Practitioner 7656 47th Ave, 3fl, Elmhurst, NY 11373-2965 2015-03-12
1982955308 Kyaw Naing Nurse Practitioner 5155 Van Kleeck St Apt 3k, Elmhurst, NY 11373-4218 2012-09-25
1629224035 Ma.riza Lising Nurse Practitioner 8710 Corona Ave Fl 3, Elmhurst, NY 11373-3900 2008-08-18
1609041029 Joy Chizoba Nwigwe Nurse Practitioner 110 E Schiller St Ste 318, Elmhurst, IL 60126-2823 2008-04-26
1780857920 Nancy H Daly Nurse Practitioner 110 E. Schiller Street Suite 319, Np Care of Il LLC, Elmhurst, IL 60126 2008-04-09
1750552360 Deborah A Panuska Nurse Practitioner 110 E Schiller St Ste 319, Elmhurst, IL 60126-2823 2008-03-23
1114149606 Judith White Nurse Practitioner 80th Street & 41st Avenue, Elmhurst, NY 11373 2007-05-03
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Competitor

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City ELMHURST
Zip Code 11373

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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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