Jacqueline F. Noboa D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004510 Issued in NY

Legal business name

JACQUELINE F. NOBOA D.P.M.

Practice address

3898 Sedgwick Ave
Bronx, NY 10463-4423

Phone

(718) 548-1988

NPI assigned

Nov 1, 2016

Last updated

Nov 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline F Noboa, DPMNPI 1114091865

Title

Podiatrist

Phone

(718) 548-1988

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Francia Noboa, DPM

  • Podiatrist
  • Bronx, NY
  • NPI 1114091865
  NPD (past) Authorized official

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1699227058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634423",
            "telephone_number": "718-548-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634423",
            "telephone_number": "718-548-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE F. NOBOA D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "NOBOA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "718-548-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0021631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU",
            "identifier": "000592413",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0XFORD",
            "identifier": "P787330",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01132636",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MCARE",
            "identifier": "480015944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Fayge Jacobson, RPA-C
• Sonia Jacobson, LMSW
• Charles Joseph Jacobus Jr., MA
• Giselle D Jaconia, M.D.
• Andrea Jacovacci
• Latchmi Jacqueline, LMSW
• Carline Jacques, LMHC
• Frederick David Jacques, MD
• Olga Josephine Jacques
• Roger Fils Jacques, M.D.

• Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.