Jessie Maldonado

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2488 Grand Concourse RM 417
Bronx, NY 10458-5206

Phone

(718) 584-7204

NPI assigned

Oct 18, 2023

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1750301180
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1649052234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE RM 417",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585206",
            "telephone_number": "718-584-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE RM 417",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585206",
            "telephone_number": "718-584-7204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W 37th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187442",
            "country_code": "US",
            "telephone_number": "212-268-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maldonado
• Fernando Maldonado, LMSW
• Isaac Maldonado, PT
• Jaime Adeline Maldonado
• Jenny Maldonado, MSW
• Kim Maldonado, LMSW
• Margaret May Maldonado, THERAPIST
• Michelle Maldonado, MHC-LP
• Mildred E. Maldonado, MSA.,RDE.,CDN
• Naomi T Maldonado

• Peer Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.