Jonathan Gibbons, D.O.
Student in an Organized Health Care Education/Training Program in Carmel, NY. Individual provider (NPI-1).
NPI number1336889252
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1336889252
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Gibbons
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
670 Stoneleigh AveCarmel, NY 10512-3997
Phone 845-279-5711
Mailing address
670 Stoneleigh AveBuilding 664, Suite 301
Carmel, NY 10512-2450
Phone 845-279-5711
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 47 Student in an Organized Health Care Education/Training Program providers in Carmel · All 922 providers in Carmel
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