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JACQUELINE F. NOBOA D.P.M. NPI 1699227058


NPI Information

NPI: 1699227058
Provider Name: JACQUELINE F. NOBOA D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3898 SEDGWICK AVE
BRONX, NY
ZIP 10463
Phone: (718) 548-1988
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JACQUELINE F. NOBOA D.P.M. is a podiatrist in Bronx, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JACQUELINE F. NOBOA D.P.M. NPI is 1699227058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3898 SEDGWICK AVE
BRONX, NY
ZIP 10463-423
Phone: (718) 548-1988

The provider's authorized official is Jacqueline F Noboa .
The authorized official title is Podiatrist and has the following contact phone number (718) 548-1988.

The enumeration date for this NPI number is 11/1/2016 and was last updated on 11/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristN004510NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10021631OTHERNEW YORKGHI
2P49871MEDICARE PINNEW YORK
3T82991MEDICARE UPINNEW YORK
401132636MEDICAIDNEW YORK
5P787330OTHERNEW YORK0XFORD
6480015944OTHERNEW YORKPALMETTO GBA RAILROAD MCARE
7000592413OTHERNEW YORKAPWU

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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