Elayne Jovanna Mesa-de Jesus

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2258 Grand Ave BSMT B1
Bronx, NY 10453-1536

Phone

(917) 216-2574

NPI assigned

Nov 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elayne Jovanna Mesa Rosa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1479513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1164965380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 GRAND AVE BSMT B1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531536",
            "telephone_number": "917-216-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 GRAND AVE BSMT B1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531536",
            "telephone_number": "917-216-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA-DE JESUS",
        "first_name": "ELAYNE",
        "middle_name": "JOVANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-19",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAYNE",
            "last_name": "MESA ROSA",
            "middle_name": "JOVANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Merritt
• Olivia Merseburg, MD
• Mertha Wright
• Anisa Mertiri, CRNA
• Allison Merz
• Yadhira Mescain
• Pamela A Meserole, ANP
• Astrid Leonela Meson Familia, M.D.
• Thelma Delcita Messer, R.N.
• Jean-Marie Messeroux, LMSW

• Case Manager/Care Coordinator in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.