Provider Demographics
NPI:1225430549
Name:TOBIAS, JAMAICA MARIAE DEL ROSARIO (DNP, AGACNP, FNP)
Entity Type:Individual
Prefix:MISS
First Name:JAMAICA MARIAE
Middle Name:DEL ROSARIO
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:DNP, AGACNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5022
Mailing Address - Country:US
Mailing Address - Phone:646-464-2634
Mailing Address - Fax:
Practice Address - Street 1:214 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1295
Practice Address - Country:US
Practice Address - Phone:646-464-2634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686021163W00000X
NY431753363LA2100X
NY346026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care