Individual provider Active NPI

Nana Jinjolava, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1205172061
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271592 Issued in NY
Practice address
326 E 149TH St
Southern Medical Group
Bronx, NY 10451-5602
Phone
(718) 585-6100
Fax
(718) 402-5034
NPI assigned
Dec 26, 2012
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271592 NY Primary

Addresses

Primary practice location

326 E 149TH St
Southern Medical Group
Bronx, NY 10451-5602

Mailing address

326 E 149TH St
Bronx, NY 10451-5602
Phone (718) 585-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160917000075 NY Practitioner - RheumatologyPractitioner - Internal Medicine 2567759608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

7 7TH Ave
New York, NY 10011-6628
Phone (516) 734-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince May 8, 2024 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince May 8, 2024 Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

300 Community Dr
Manhasset, NY 11030

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

122 E 76th St
New York, NY 10021
Phone (212) 434-2878

122 E 76th St
Ofc 1C
New York, NY 10021
Phone (212) 434-4130

7 7th Ave
New York, NY 10011
Phone (646) 973-3400

7 7th Ave
Fl 3
New York, NY 10011
Phone (646) 973-3400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nana.jinjolava.1@18107.direct.athenahealth.com
  • Direct secure messaging: njinjolava1062335@nychhc.direct-ci.com
  • Direct secure messaging: njinjolava68809@northwell.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1205172061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "718-585-6100",
            "fax_number": "718-402-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E 149TH ST",
            "address_2": "SOUTHERN MEDICAL GROUP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515602",
            "telephone_number": "718-585-6100",
            "fax_number": "718-402-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINJOLAVA",
        "first_name": "NANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.