Active NPI
Jo-Ann Shakarjian, MD
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1225115769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 190981
- Practice address
- 913 E Tremont Ave
Suite B
Bronx, NY 10460-4301 - Phone
- (718) 860-0200
- Fax
- (718) 228-7978
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 190981 | NY | Primary |
Addresses
Primary practice location
913 E Tremont Ave
Suite B
Bronx, NY 10460-4301
Mailing address
913 E Tremont Ave
Suite B
Bronx, NY 10460-4301
Phone (718) 860-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190981 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Wellness Consultants, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bayonne, NJ
- NPI 1558852806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1225115769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 E TREMONT AVE",
"address_2": "SUITE B",
"city": "BRONX",
"state": "NY",
"postal_code": "104604301",
"telephone_number": "718-860-0200",
"fax_number": "718-228-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 E TREMONT AVE",
"address_2": "SUITE B",
"city": "BRONX",
"state": "NY",
"postal_code": "104604301",
"telephone_number": "718-860-0200",
"fax_number": "718-228-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKARJIAN",
"first_name": "JO-ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "190981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.