Active NPI
Joyce Dejong, D.O.
- Forensic Pathology Physician
- Lansing, MI
National Provider Identifier
1760610455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 5101010300
- Practice address
- 1322 E Michigan Ave
Suite 118
Lansing, MI 48912-2199 - Phone
- (517) 364-2578
- NPI assigned
- Jul 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 5101010300 | MI | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 5101010300 | MI |
Addresses
Primary practice location
1322 E Michigan Ave
Suite 118
Lansing, MI 48912-2199
Mailing address
1322 E Michigan Ave
Suite 118
Lansing, MI 48912-2199
Phone (517) 364-2578
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010300 | MI | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1760610455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 E MICHIGAN AVE",
"address_2": "SUITE 118",
"city": "LANSING",
"state": "MI",
"postal_code": "489122199",
"telephone_number": "517-364-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 E MICHIGAN AVE",
"address_2": "SUITE 118",
"city": "LANSING",
"state": "MI",
"postal_code": "489122199",
"telephone_number": "517-364-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJONG",
"first_name": "JOYCE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MI",
"license": "5101010300",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MI",
"license": "5101010300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.