JONATHAN JOSE MALDONADO
NPI 1629921549
Counselor - Mental Health in Woodside, NY

Active since February 19, 2026PECOS EnrolledAccepts Medicare Assignment
3716 65TH ST APT 4F, WOODSIDE, NY 11377(347) 801-3669 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jonathan Jose Maldonado NPPES

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

JONATHAN JOSE MALDONADO (NPI 1629921549) is an individual mental health provider in Woodside, New York, licensed in New York (016504) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629921549
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN JOSE MALDONADO
Location Address3716 65TH ST APT 4FWoodside, NY 11377-2815
Mailing Address3716 65th StWoodside, NY 11377-2860 · (347) 801-3669
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1629921549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 016504
3716 65TH ST APT 4F, Woodside, NY 11377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Jose Maldonado 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 ID7214411867
PECOS Enrollment IDI20260320002621
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
104-70 QUEENS BOULEVARD, SUITE 200
Forest Hills, NY 11375
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maldonado's NPI number?

The NPI number for Jonathan Maldonado is 1629921549. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Jonathan Maldonado located?

Jonathan Maldonado practices at 3716 65th St Apt 4F, Woodside, NY 11377. The listed phone number is (347) 801-3669.

What is Jonathan Maldonado's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Maldonado enrolled in Medicare?

Yes. Jonathan Maldonado 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.

Which organization bills Medicare for Jonathan Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Maldonado reassigns Medicare benefits to Bleuler Psychotherapy Center, Inc. (Forest Hills, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Maldonado was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.