Individual provider Active NPI

Joanna Jimenez Mejia, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1376951319
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306970 Issued in NY
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

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150403000752 NY Practitioner - Nurse Practitioner 1456679349 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Apr 6, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 12, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 29, 2014 Accepting new patients
Medical Care at Home PC CurrentSince Dec 7, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 6, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 29, 2014 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

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.