Jessica Marie Koenig

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

163424 Issued in NY

Practice address

52 Harding St
East Northport, NY 11731-1111

Phone

(917) 603-7871

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Marie Hughes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1134532799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HARDING ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311111",
            "telephone_number": "917-603-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HARDING ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311111",
            "telephone_number": "917-603-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NY",
            "license": "163424",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "163424",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NY",
            "license": "163424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HUGHES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Samples Kimberling, LCSW
• Stacy Ann Kinirons, PHD
• Devin James Klein, DDS
• Joseph Kleynowski, DPT
• Peter Michael Koblan III, DDS
• Melissa Ann Koenig
• Danielle Ann Krupka, MA, CCC-SLP
• Cindy Starr Kumar, SLP
• Kelly Marie Kuylen, BCBA, LBA
• Benita La Gattuta, D.C.

• Vascular Sonography Radiologic Technologist in East Northport, NY
• Providers in East Northport, NY by specialty
• Vascular Sonography Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.