Joan M. Radjieski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

242746 Issued in NY

Practice address

55 E 124TH St
New York, NY 10035-1815

Phone

(212) 410-8484

Fax

(212) 410-8485

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1891977500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274402",
            "telephone_number": "646-981-4540",
            "fax_number": "212-678-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351815",
            "telephone_number": "212-410-8484",
            "fax_number": "212-410-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADJIESKI",
        "first_name": "JOAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64081193",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCC NPI",
            "identifier": "1619004157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radish Health Medical Group PLLC
• Radius Anesthesia Services PLLC
• Asa E Radix, MD
• Radjabi Medical P.C.
• Amir Reza Radjabi, M.D.
• Sydney Radkoff
• Keith Harrison Radler, MD
• Alireza Radmanesh, M.D.
• Sara Radmard, M.D.
• Richard Julian Radna, M.D.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.