Provider Demographics
NPI:1679364665
Name:BARNETT, JONAH CONSTANTINE (BSN, RN)
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:CONSTANTINE
Last Name:BARNETT
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:JONAH
Other - Middle Name:CONSTANTINE
Other - Last Name:WESTMORELAND-BARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:53 W 104TH ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-0318
Mailing Address - Country:US
Mailing Address - Phone:646-835-9643
Mailing Address - Fax:
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6508
Practice Address - Country:US
Practice Address - Phone:212-241-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY855556163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency