MR. JOHNATHAN ALBERT ALLEN PA-C
NPI 1659961522
Physician Assistant - Surgical in Bronx, NY

Active since January 24, 2021PECOS EnrolledAccepts Medicare Assignment
130 W KINGSBRIDGE RD, BRONX, NY 10468(718) 741-4000 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2021, Jan 24, 2021 (2 updates tracked since 2021).

About Mr. Johnathan Albert Allen Pa-c NPPES

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

MR. JOHNATHAN ALBERT ALLEN PA-C (NPI 1659961522) is an individual surgical provider in Bronx, New York, licensed in New York (026415) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659961522
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JOHNATHAN ALBERT ALLENCredential: PA-C
Location Address130 W KINGSBRIDGE RDBronx, NY 10468-3904
Mailing Address15764 Sw 141st StMiami, FL 33196-6717
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2021
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1659961522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 026415
130 W KINGSBRIDGE RD, Bronx, NY 10468

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

Mr. Johnathan Albert Allen Pa-c 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 ID3971091919
PECOS Enrollment IDI20251022001994
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.

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.

Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468

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 Johnathan Allen's NPI number?

The NPI number for Johnathan Allen is 1659961522. It was assigned to this individual provider in the NPPES registry on January 24, 2021.

Where is Johnathan Allen located?

Johnathan Allen practices at 130 W Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 741-4000.

What is Johnathan Allen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Johnathan Allen enrolled in Medicare?

Yes. Johnathan Allen 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.

When was this NPI record last updated?

The NPPES record for Johnathan Allen was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.