Joanna Denobile, PA
Physician Assistant in Bronx, NY. Individual provider (NPI-1).
NPI number1407970783
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1407970783
- Entity type
- Individual (NPI-1)
- Name
- Joanna Denobile
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 011546 | NY | Yes |
Practice location
3400 Bainbridge AvenueMmc - Dept Of Ct Surgery
Bronx, NY 10467
Phone 718-920-7000
Mailing address
911 Edison AveBronx, NY 10465-2127
Phone 718-823-3367 · Fax 718-653-2237
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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