Individual provider Active NPI

Joan Jones, M.D.

  • Specialist
  • Bronx, NY
National Provider Identifier
1790726875
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167466 Issued in NY
Practice address
122 Horton St
Bronx, NY 10464
Phone
(917) 854-8512
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME123956 FL
Specialist 174400000X 167466 NY Primary

Addresses

Primary practice location

122 Horton St
Bronx, NY 10464

Mailing address

122 Horton St
Bronx, NY 10464-1651
Phone (917) 854-8512

Other practice location 1

525 East 68TH Street
New York, NY 10021-4805
Phone (646) 253-2808

Other practice location 2

1305 South St Unit B
Key West, FL 33040-3407
Phone (917) 854-8512

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

State licenses

LicenseStateTypeSpecialty
ME123956FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1790726875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HORTON ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641651",
            "telephone_number": "917-854-8512",
            "fax_number": "212-746-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HORTON ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10464",
            "telephone_number": "917-854-8512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 EAST 68TH STREET",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214805",
            "country_code": "US",
            "telephone_number": "646-253-2808",
            "fax_number": "212-746-3856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 South St Unit B",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330403407",
            "country_code": "US",
            "telephone_number": "917-854-8512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME123956",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "167466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.