Jose L Medina
Community/Behavioral Health in Bayonne, New Jersey
1396022562- Practice location
- 106 W 53RD St Apt 26, Bayonne, NJ 07002-3356
- Phone
- 718-761-9800
- Fax
- —
- Last updated
- November 15, 2011
Jose Luis Medina is a Community/Behavioral Health based in Bayonne, NJ. Jose Luis Medina practices in Bayonne, NJ. The NPI Number for Jose Luis Medina is 1396022562. The current practice location address for Jose Luis Medina is 106 W 53RD St Apt 26, Bayonne, NJ 07002-3356 and can be reached out via phone at 718-761-9800.
Provider Profile Details
- NPI Number
- 1396022562
- Provider Name
- Jose Luis Medina
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 106 W 53RD St Apt 26, Bayonne, NJ 07002-3356
- Phone Number
- 718-761-9800
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2011
- Last Update Date
- November 15, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 W 53RD St Apt 26
Bayonne, NJ 07002-3356 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3356
- Phone Number
- 718-761-9800
Provider Business Mailing Address Details
- Address
- 106 W 53RD St Apt 26
Bayonne, NJ 07002-3356 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3356
- Phone Number
- 718-761-9800
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jose L Medina?
The NPI number of Jose L Medina is 1396022562. It was assigned on November 15, 2011 and is currently active in the NPPES registry.
What is the specialty of Jose L Medina?
Jose L Medina is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Jose L Medina practice?
The practice location is 106 W 53RD St Apt 26, Bayonne, NJ 07002-3356. The office can be reached at 718-761-9800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396022562 directly on the NPPES registry website.