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

Jose Luis Medina

Individual provider Community/Behavioral Health Agency · NPI 1396022562

Jose Luis Medina is a Community/Behavioral Health Agency in Bayonne, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

106 W 53rd St Apt 26
Bayonne, NJ 07002-3356
Phone: (718) 761-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1396022562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

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