Individual provider Active NPI

Ivan Jose De Jesus Rijo

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1932025236
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F358220-01 Issued in NY
Practice address
1715 University Ave
Bronx, NY 10453-6914
Phone
(718) 294-0700
Fax
(718) 901-1150
NPI assigned
Jun 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033942 PA
Family Nurse Practitioner 363LF0000X F358220-01 NY Primary

Addresses

Primary practice location

1715 University Ave
Bronx, NY 10453-6914

Mailing address

1715 University Ave
Bronx, NY 10453-6914
Phone (718) 294-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1932025236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536914",
            "telephone_number": "718-294-0700",
            "fax_number": "718-901-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536914",
            "telephone_number": "718-294-0700",
            "fax_number": "718-901-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RIJO",
        "first_name": "IVAN",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F358220-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.