Individual provider Active NPI

Jesse Harris Monestersky, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Fort George G Meade, MD
National Provider Identifier
1083693428
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
33185-21 Issued in WI
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

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
33185WIMDFamily Medicine Physician
33185-21WIMDPreventive 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.

Verify at the official NPI Registry.