Provider Demographics
NPI:1023353596
Name:ROCKFELD, JONATHAN (NP)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:ROCKFELD
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:206 E BROWN ST
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-3006
Mailing Address - Country:US
Mailing Address - Phone:570-422-1700
Mailing Address - Fax:570-421-3267
Practice Address - Street 1:425 WEST 59TH STREET
Practice Address - Street 2:HEMATOLOGY/ONCOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-523-5559
Practice Address - Fax:212-523-2004
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF306250-1363LA2200X
PASP012477363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health