DR. JESS THOMPSON D.O.
NPI 1790072775
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Jess Thompson's NPI number?

The NPI number for Jess Thompson is 1790072775. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Q: What is Jess Thompson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jess Thompson was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2011PECOS Enrolled

4802 10TH AVE, BROOKLYN, NY 11219(917) 400-7325 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jess Thompson D.o. NPPES

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

DR. JESS THOMPSON D.O. (NPI 1790072775) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790072775

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JESS THOMPSONCredential: D.O.

Location Address4802 10TH AVEBrooklyn, NY 11219-2916

Mailing Address59 Saint Marks Pl, Apt 3bBrooklyn, NY 11217-1970 · (917) 400-7325

Phone(917) 400-7325

Sole ProprietorNo

Enumeration DateJune 29, 2011

Last NPPES UpdateDecember 15, 2021

✔ NPI 1790072775 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.

4802 10TH AVE, Brooklyn, NY 11219

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jess Thompson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.