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

Jonathan Divito

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790545200

Jonathan Divito is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8268 164th St
Jamaica, NY 11432-1121
Phone: (718) 883-4583
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

Record details

NPI number1790545200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

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