JERRY JOSE DO
NPI 1255027900
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 14, 2023
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 245-3131 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jerry Jose Do NPPES

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

JERRY JOSE DO (NPI 1255027900) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1255027900
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERRY JOSECredential: DO
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address919 Terrace BlvdNew Hyde Park, NY 11040-3922 · (516) 468-1758
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1255027900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203

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.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Jerry Jose's NPI number?

The NPI number for Jerry Jose is 1255027900. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Jerry Jose located?

Jerry Jose practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3131.

What is Jerry Jose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerry Jose was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.