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

Map and Directions

Get Directions

NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		N004510	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0021631	OTHER	NEW YORK	GHI
2	P49871	MEDICARE PIN	NEW YORK
3	T82991	MEDICARE UPIN	NEW YORK
4	01132636	MEDICAID	NEW YORK
5	P787330	OTHER	NEW YORK	0XFORD
6	480015944	OTHER	NEW YORK	PALMETTO GBA RAILROAD MCARE
7	000592413	OTHER	NEW YORK	APWU

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI