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MELISSA A JIMENEZ MD
NPI 1467254631
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 26, 2025
101 NICOLLS RD RM 4-068, STONY BROOK, NY 11794(631) 444-3922(631) 444-2907 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa A Jimenez Md NPPES

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

MELISSA A JIMENEZ MD (NPI 1467254631) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1467254631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELISSA A JIMENEZCredential: MD
Location Address101 NICOLLS RD RM 4-068Stony Brook, NY 11794-0001
Mailing Address101 Nicolls Rd Rm 4-068Stony Brook, NY 11794-0001 · (631) 444-3922 · Fax (631) 444-2907
Phone(631) 444-3922
Fax(631) 444-2907
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1467254631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
101 NICOLLS RD RM 4-068, Stony Brook, NY 11794
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Other Identifiers 1

MedicaidSZ40220HNY

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 Melissa Jimenez's NPI number?

The NPI number for Melissa Jimenez is 1467254631. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Melissa Jimenez located?

Melissa Jimenez practices at 101 Nicolls Rd Rm 4-068, Stony Brook, NY 11794. The listed phone number is (631) 444-3922.

What is Melissa Jimenez'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 Melissa Jimenez was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.