JOSE LUIS MEDINA
NPI 1396022562
Community/Behavioral Health in Bayonne, NJ

Q: What is Jose Medina's NPI number?

The NPI number for Jose Medina is 1396022562. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Q: What is Jose Medina's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Medina was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 15, 2011

106 W 53RD ST APT 26, BAYONNE, NJ 07002(718) 761-9800 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jose Luis Medina NPPES

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

JOSE LUIS MEDINA (NPI 1396022562) is an individual community/behavioral health provider in Bayonne, New Jersey and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1396022562

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameJOSE LUIS MEDINA

Location Address106 W 53RD ST APT 26Bayonne, NJ 07002-3356

Mailing Address106 W 53rd St Apt 26Bayonne, NJ 07002-3356 · (718) 761-9800

Phone(718) 761-9800

Sole ProprietorYes

Enumeration DateNovember 15, 2011

✔ NPI 1396022562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

106 W 53RD ST APT 26, Bayonne, NJ 07002

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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 Medina's NPI number?

The NPI number for Jose Medina is 1396022562. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Where is Jose Medina located?

Jose Medina practices at 106 W 53rd St Apt 26, Bayonne, NJ 07002. The listed phone number is (718) 761-9800.

What is Jose Medina's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jose Medina was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.