NPIMap

Organization Active NPI

MJHS Medical Associates

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1013208602
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202721 Issued in NY
Legal business name
MJHS MEDICAL ASSOCIATES
Practice address
55 Water St FL 46
New York, NY 10041-3211
Phone
(212) 649-5555
NPI assigned
Apr 29, 2011
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerrianne Patricia Page, MDNPI 1851462956
Title
Chief Medical Officer
Phone
(347) 930-8501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LH0002X 224025 NY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 202721 NY Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 171229 NY

Addresses

Primary practice location

55 Water St FL 46
New York, NY 10041-3211

Mailing address

55 Water St FL 46
New York, NY 10041-3211
Phone (212) 649-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000498 NY Part B Supplier - Clinic/Group Practice 8325219009 Receives reassigned benefits from 82 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1013208602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "212-649-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "212-649-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJHS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KERRIANNE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "347-930-8501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "224025",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "202721",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "171229",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.