Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan David Jimenez, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407237050

Dr. Jonathan David Jimenez, DO is an Obstetrics/Gynecology in Paterson, New Jersey. Qualified in 2015, 11 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

78 E 16th St
Paterson, NJ 07524-1513
Phone: (973) 279-0755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence J44234096407892 (NJ)

Record details

NPI number1407237050
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2015
Last updated in NPPESJune 9, 2015
Mailing address78 E 16th St, Paterson, NJ 07524-1513

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lifeline Medical Associates Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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