VICTOR MARI JATA
NPI 1104064955
Licensed Practical Nurse in Bronx, NY

Active since February 02, 2009
960 SHERIDAN AVE, 5D, BRONX, NY 10456(917) 349-5856 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor Mari Jata NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR MARI JATA (NPI 1104064955) is an individual licensed practical nurse in Bronx, New York, licensed in New York (293982-1) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1104064955
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameVICTOR MARI JATA
Location Address960 SHERIDAN AVE, 5DBronx, NY 10456-6301
Mailing Address960 Sheridan Ave, 5dBronx, NY 10456-6301 · (917) 349-5856
Sole ProprietorYes
Enumeration DateFebruary 2, 2009
NPI 1104064955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 293982-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
960 SHERIDAN AVE, Bronx, NY 10456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Mari Jata's NPI number?

The NPI number for Victor Mari Jata is 1104064955. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Where is Victor Mari Jata located?

Victor Mari Jata practices at 960 Sheridan Ave 5D, Bronx, NY 10456. The listed phone number is (917) 349-5856.

What is Victor Mari Jata's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Victor Mari Jata was last updated on February 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.