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

Jonathan Edom, RN

Individual provider Registered Nurse · NPI 1992081145

Jonathan Edom, RN is a Registered Nurse in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

19 School St
Ronkonkoma, NY 11779-2209
Phone: (631) 721-3860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 646242-1 (NY)

Record details

NPI number1992081145
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011
Mailing address19 School St, Ronkonkoma, NY 11779-2209

Other providers in Ronkonkoma