Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Johnathan Albert Allen, PA-C

Individual provider Surgical Physician Assistant · NPI 1659961522

Mr. Johnathan Albert Allen, PA-C is a Physician Assistant in Bronx, New York. Qualified in 2020, 6 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 741-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 026415 (NY)

Record details

NPI number1659961522
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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