Individual provider Active NPI

Meriem Djouini, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Liverpool, NY
National Provider Identifier
1023605912
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7335 Morgan Rd
Liverpool, NY 13090-4508
Phone
(315) 572-0731
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary
Physician Assistant 363A00000X 026190 NY

Addresses

Primary practice location

7335 Morgan Rd
Liverpool, NY 13090-4508

Mailing address

7335 Morgan Rd
Liverpool, NY 13090-4508
Phone (315) 572-0731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210301000804 NY Practitioner - Physician Assistant 6305252297 Reassigns benefits to 8 organizations
I20240710003736 FL Practitioner - Physician Assistant 6305252297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

653 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32209-6511

655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340

76011 William Burgess Rd
Yulee, FL 32097-5428
Phone (904) 427-8590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026190NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Multi-Specialty Current Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Sep 16, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Multi-Specialty CurrentSince Jun 25, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Multi-Specialty CurrentSince Nov 6, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 6, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 16, 2024 Accepting new patients
Carthage Area Hospital Inc CurrentSince Mar 1, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Multi-Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 6, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

Interoperability endpoints

  • Direct secure messaging: meriem.djouini.1@24989.direct.athenahealth.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1023605912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130904508",
            "telephone_number": "315-572-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130904508",
            "telephone_number": "315-572-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJOUINI",
        "first_name": "MERIEM",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2023-01-24",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.