Individual provider Active NPI

Hanna Jesionowska, MD

  • Specialist
  • New York, NY
National Provider Identifier
1760531040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167170 Issued in NY
Practice address
159 E 74TH St
New York, NY 10021-3249
Phone
(212) 794-0080
Fax
(212) 744-5506
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 167170 NY Primary

Addresses

Primary practice location

159 E 74TH St
New York, NY 10021-3249

Mailing address

179 E 79TH St
Apt. 16a
New York, NY 10021-0467
Phone (917) 470-5911

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000618 NY Practitioner - Obstetrics/Gynecology 2961685433 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Medical Group LLC Current Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Amir Reza Radjabi Medical PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hjesionowska839676@nychhc.direct-ci.com
  • Direct secure messaging: hjesionowska375914@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760531040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 E 79TH ST",
            "address_2": "APT. 16A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210467",
            "telephone_number": "917-470-5911",
            "fax_number": "212-744-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213249",
            "telephone_number": "212-794-0080",
            "fax_number": "212-744-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESIONOWSKA",
        "first_name": "HANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "167170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.