John Joannow, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

167378 Issued in NY

Practice address

2605 23Rd Ave
Astoria, NY 11105-3124

Phone

(718) 721-1496

Fax

(718) 721-1118

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225180995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 STONYTOWN RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301234",
            "telephone_number": "516-467-4154",
            "fax_number": "718-721-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 23RD AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053124",
            "telephone_number": "718-721-1496",
            "fax_number": "718-721-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOANNOW",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "167378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761119",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurell Jeffrey, OT
• Harold L Jennings Jr., EDD
• Jessica Koblenz, PSYD, PLLC (Cornerstone Psychological Services)
• Jessica Scott, LMHC
• Saidu Jimoh, RPA
• Melanie Joannow
• John a. Pilavas MD PLLC
• John Kenul Hearing Services LLC
• John Lathrop Physical Therapy PLLC
• John Pilavas, MD

• Internal Medicine Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.