Individual provider · Type 1 NPI

Jovante Dewayne Dockery, DO, MS

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1194667923 Active

Practice location

355 Bard Ave, Department Of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310-1699

Call (718) 818-2419 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194667923

Jovante Dewayne Dockery, DO, MS's National Provider Identifier is 1194667923, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 9, 2026.