Healthcare Provider Details

I. General information

NPI: 1134575434
Provider Name (Legal Business Name): JONATHAN ARNEDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82-68 164TH ST. QUEENS HOSPITAL CENTER
JAMAICA NY
11432
US

IV. Provider business mailing address

954 NW 109TH TER
CORAL SPRINGS FL
33071-6430
US

V. Phone/Fax

Practice location:
  • Phone: 718-883-4080
  • Fax:
Mailing address:
  • Phone: 954-621-8377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number330128
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: