Clara Ines Jimenez, M.S.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

100 Lawrence St
Farmingdale, NY 11735-3018

Phone

(516) 586-5172

Fax

(516) 694-4686

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1194854497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAWRENCE ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353018",
            "telephone_number": "516-586-5172",
            "fax_number": "516-694-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAWRENCE ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353018",
            "telephone_number": "516-586-5172",
            "fax_number": "516-694-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CLARA",
        "middle_name": "INES",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica M Brigante
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• Krisadel C Joachim, OTR/L
• Jordan Johnson
• Lawrence Revel Johnson, M.D.
• Timothy B Jones

• Contractor in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.