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MR. JOSE RAFAEL JEREZ M.D.
NPI 1174582159
Pediatrics - Pediatric Emergency Medicine in New York, NY

Active since March 20, 2006
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, NEW YORK, NY 10032(212) 304-7250(212) 544-1974 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jose Rafael Jerez M.d. NPPES

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

MR. JOSE RAFAEL JEREZ M.D. (NPI 1174582159) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (159415) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1174582159
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMR. JOSE RAFAEL JEREZCredential: M.D.
Location Address3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICSNew York, NY 10032-1559
Mailing Address143 Schor AveLeonia, NJ 07605-2237 · (201) 461-0626
Phone(212) 304-7250
Fax(212) 544-1974
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 3, 2013
✔ NPI 1174582159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 159415
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
3959 BROADWAY, New York, NY 10032
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Other Identifiers 3

Medicaid00844899NY
Medicare ID-Type Unspecified17G161NY
Medicare UPINF65599NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

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 Jose Jerez's NPI number?

The NPI number for Jose Jerez is 1174582159. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Jose Jerez located?

Jose Jerez practices at 3959 Broadway Columbia University Department Pediatrics, New York, NY 10032. The listed phone number is (212) 304-7250.

What is Jose Jerez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Jose Jerez was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.