Active NPI
Johannes M Jones, MD
- Specialist
- Brooklyn, NY
National Provider Identifier
1447369319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 214032
- Practice address
- 121 Dekalb Ave
Brooklyn, NY 11201 - Phone
- (718) 250-8521
- Fax
- (718) 250-6509
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 214032 | NY | |
| Specialist | 174400000X | 214032 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Brooklyn, NY 11201
Mailing address
121 Dekalb Ave
Brooklyn, NY 11201
Phone (718) 250-8521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02048355 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caledonian Health Center | Past | Accepting new patients | |
| TBHC Medical Services PC | Past | Accepting new patients | |
| TBHC Physician Services PC | Obstetrics & Gynecology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1184657355
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508959743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1447369319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-8521",
"fax_number": "718-250-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-8521",
"fax_number": "718-250-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHANNES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "214032",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "214032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02048355",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.