Active NPI
Jesse Harris Monestersky, D.O.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Fort George G Meade, MD
National Provider Identifier
1083693428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 33185-21
- Practice address
- Usameddac
2480 Llewellyn Ave
Fort George G Meade, MD 20755 - Phone
- (808) 913-8111
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33185 | WI | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 33185-21 | WI | Primary |
Addresses
Primary practice location
Usameddac
2480 Llewellyn Ave
Fort George G Meade, MD 20755
Mailing address
Usameddac
2480 Llewellyn Ave
Fort George G Meade, MD 20755
Phone (808) 913-8111
Other practice location 1
Defense Centers for Public Health Aberdeen
8977 Sibert Road, Bldg E-1570
Aberdeen Proving Ground, MD 21010
Phone (808) 913-8111
Other names 1
- Dr. Jesse H Monestersky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33185 | WI | MD | Family Medicine Physician |
| 33185-21 | WI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1083693428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USAMEDDAC",
"address_2": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "808-913-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USAMEDDAC",
"address_2": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "808-913-8111"
}
],
"practiceLocations": [
{
"address_1": "Defense Centers for Public Health Aberdeen",
"address_2": "8977 Sibert Road, Bldg E-1570",
"address_purpose": "LOCATION",
"city": "Aberdeen Proving Ground",
"state": "MD",
"postal_code": "21010",
"country_code": "US",
"telephone_number": "808-913-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONESTERSKY",
"first_name": "JESSE",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2025-01-29",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "33185",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WI",
"license": "33185-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSE",
"last_name": "MONESTERSKY",
"middle_name": "H",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.