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ETHERTON T JONGA
NPI 1790470987
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 05, 2023
4422 3RD AVE., BRONX, NY 10457(718) 960-9000 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etherton T Jonga NPPES

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

ETHERTON T JONGA (NPI 1790470987) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1790470987
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHERTON T JONGA
Location Address4422 3RD AVE.Bronx, NY 10457
Mailing Address3001 Hamilton Church Rd Unit 443Antioch, TN 37013-7411
Phone(718) 960-9000
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1790470987 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.
4422 3RD AVE., Bronx, NY 10457
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESYCA VILENSKY PSY.D.
Psychologist (Clinical)
4422 3RD AVE.
BRONX, NY 10457
Bronx County (718) 960-6653

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 Etherton Jonga's NPI number?

The NPI number for Etherton Jonga is 1790470987. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Etherton Jonga located?

Etherton Jonga practices at 4422 3rd Ave., Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Etherton Jonga'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 Etherton Jonga was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.