IndividualActive
Victor Mari Jata
NPI 1104064955 · Licensed Practical Nurse · Bronx, NY
Victor Mari Jata is a Licensed Practical Nurse provider in Bronx, NY (NPI 1104064955).
Provider details
- NPI number
- 1104064955
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 293982-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
960 Sheridan Ave
5d
Bronx, NY 10456-6301
Phone: (917) 349-5856
Street-level locationGet directions
Mailing address
960 Sheridan Ave
Bronx, NY 10456-6301
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2009-02-02
Frequently asked questions
- What is Victor Mari Jata's NPI number?
- Victor Mari Jata's National Provider Identifier (NPI) is 1104064955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Victor Mari Jata's specialty?
- Victor Mari Jata is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Victor Mari Jata located?
- Victor Mari Jata's practice location on file with NPPES is 960 Sheridan Ave, Bronx, NY 10456-6301.
- What is Victor Mari Jata's phone number?
- The practice phone number listed in the NPPES registry for Victor Mari Jata is (917) 349-5856.
- Is Victor Mari Jata's NPI active?
- Yes — Victor Mari Jata's NPI (1104064955) is active in the NPPES registry as of the last update on 2009-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.