Active NPI
Joan Jones, M.D.
- Specialist
- Bronx, NY
National Provider Identifier
1790726875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 167466
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME123956 | FL | MD | Specialist |
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.