Active NPI
Joanna Jimenez Mejia, NP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306970
- Practice address
- 17TH 102ND Street
5TH FL., D5-128
New York, NY 10029-6574 - Phone
- (212) 241-1101
- Fax
- (212) 426-5108
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306970 | NY | Primary |
Addresses
Primary practice location
17TH 102ND Street
5TH FL., D5-128
New York, NY 10029-6574
Mailing address
50 S B B King Blvd
Memphis, TN 38103-2626
Phone (901) 436-1381
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Medical Care at Home PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
17 E 102nd St
Fl 5
New York, NY 10029
Phone (212) 241-8100
5065 Wooster Rd
Cincinnati, OH 45226
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- joanna.jimenez.mejia.1@30409.direct.athenahealth.com
Organizations & group practices 6
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1689947160
-
- Internal Medicine Physician
- New York, NY
- NPI 1811138415
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1376951319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-436-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17TH 102ND STREET",
"address_2": "5TH FL., D5-128",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-1101",
"fax_number": "212-426-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ MEJIA",
"first_name": "JOANNA",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "306970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Jillian E. Kaufman Psychotherapy & Consulting Services, LLC
- Jillien Kahn, Licensed Marriage and Family Therapist PLLC
- William L Jim, OTR/L
- Elizabeth Jo Ann Jimenez Douglas, PA
- Jimenez Family Dental
- Michelle Marie Jimenez Miranda
- Natalie Jimenez Rodriguez
- Rosa Maria Jimenez Rodriguez, MD, PHD
- Xavier Jimenez Samayoa, M.D.
- Joyce Antonella Jimenez Zambrano, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.