Active NPI
Janny Altagracia Ozuna Mendez, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1003970948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207078-1
- Practice address
- 1259 Saint Nicholas Ave
New York, NY 10032-1934 - Phone
- (917) 853-8080
- Fax
- (718) 956-1359
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207078-1 | NY | Primary |
Addresses
Primary practice location
1259 Saint Nicholas Ave
New York, NY 10032-1934
Mailing address
1259 Saint Nicholas Ave
New York, NY 10032-1934
Phone (917) 853-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02760772 | Medicaid | NY | |
| 207078-1 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101012000471 | NY | Practitioner - Internal Medicine | 0749472504 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1259 Saint Nicholas Ave
New York, NY 10032-1934
Phone (212) 795-0100
175 Audubon Ave
FL 1
New York, NY 10033-8720
Phone (212) 795-0100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 229 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207078-1 | NY | MD | Internal Medicine Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFAGCA/Endpoint/GFAGCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003970948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 SAINT NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321934",
"telephone_number": "917-853-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 SAINT NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321934",
"telephone_number": "917-853-8080",
"fax_number": "718-956-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZUNA MENDEZ",
"first_name": "JANNY",
"middle_name": "ALTAGRACIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "207078-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02760772",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "207078-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.