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JONATHAN IM
NPI 1902640634
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 19, 2024
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Jonathan Im NPPES

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

JONATHAN IM (NPI 1902640634) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1902640634
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN IM
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address1 Kneeland StBoston, MA 02111-1527 · (617) 636-6828
Phone(617) 636-6828
Sole ProprietorYes
Enumeration DateJune 19, 2024
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1902640634 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.
1 KNEELAND ST, Boston, MA 02111
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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.

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Im's NPI number?

The NPI number for Jonathan Im is 1902640634. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Jonathan Im located?

Jonathan Im practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Jonathan Im'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 Jonathan Im was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.