Provider Demographics
NPI:1962737692
Name:GINNS, JONATHAN (MBBS MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:GINNS
Suffix:
Gender:M
Credentials:MBBS MD
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Mailing Address - Street 1:520 E 70TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:646-962-5558
Mailing Address - Fax:646-962-0050
Practice Address - Street 1:900 W 38TH ST STE 400
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1141
Practice Address - Country:US
Practice Address - Phone:512-206-3600
Practice Address - Fax:512-206-3604
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273098207RC0000X
TXS5169207RA0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart Disease
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03313022Medicaid