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John Ricardo Jimenez

NPI 1982965059ActiveIndividual· Specialist· Central Islip, NY

Specialist in Central Islip, New York, with an NPI issued in June 2012.

Overview

NPI1982965059
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 5, 2012
Last updated in NPPESJun 5, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X—NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Central Islip

All 21 Specialist providers in Central Islip · All Specialist providers in New York