Organization Active NPI

Janny a. Ozuna Mendez, MD, PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1891087490
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207078 Issued in NY
Legal business name
JANNY A. OZUNA MENDEZ, MD, PLLC
Practice address
1259 Saint Nicholas Ave
New York, NY 10032-1934
Phone
(212) 795-0100
Fax
(212) 795-0300
NPI assigned
May 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Janny A Ozuna Mendez, MD
Title
President
Phone
(212) 795-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207078 NY Primary

Addresses

Primary practice location

1259 Saint Nicholas Ave
New York, NY 10032-1934

Mailing address

1259 Saint Nicholas Ave
New York, NY 10032-1934
Phone (212) 795-0100

Other identifiers 2

IdentifierTypeStateIssuer
02760772MedicaidNY
$$$$$$$$$OtherNYSOCIAL SECURITY

National Provider Directory

National Provider Directory

Locations

1259 Saint Nicholas Ave
New York, NY 10032
Phone (212) 795-0100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFAGCA

NPI Registry JSON

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1891087490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321934",
            "telephone_number": "212-795-0100",
            "fax_number": "212-795-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321934",
            "telephone_number": "212-795-0100",
            "fax_number": "212-795-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNY A. OZUNA MENDEZ, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-14",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "OZUNA MENDEZ",
        "authorized_official_first_name": "JANNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-795-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760772",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.