DR. JONATHAN DAVID JIMENEZ D.O
NPI 1407237050
Student in an Organized Health Care Education/Training Program in Paterson, NJ

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
78 E 16TH ST, PATERSON, NJ 07524(973) 279-0755 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan David Jimenez D.o NPPES

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

DR. JONATHAN DAVID JIMENEZ D.O (NPI 1407237050) is an individual student in an organized health care education/training program in Paterson, New Jersey, licensed in New Jersey (J44234096407892) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407237050
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN DAVID JIMENEZCredential: D.O
Location Address78 E 16TH STPaterson, NJ 07524-1513
Mailing Address78 E 16th StPaterson, NJ 07524-1513 · (973) 279-0755
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 9, 2015
NPI 1407237050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NJ · J44234096407892
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.
78 E 16TH ST, Paterson, NJ 07524

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan David Jimenez D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466875182
PECOS Enrollment IDI20200625001883
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

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 Jonathan Jimenez's NPI number?

The NPI number for Jonathan Jimenez is 1407237050. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Jonathan Jimenez located?

Jonathan Jimenez practices at 78 E 16th St, Paterson, NJ 07524. The listed phone number is (973) 279-0755.

What is Jonathan Jimenez's specialty?

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

Is Jonathan Jimenez enrolled in Medicare?

Yes. Jonathan Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jonathan Jimenez affiliated with any hospitals?

According to CMS data, Jonathan Jimenez is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Jimenez was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.