Individual provider Active NPI

Jermel Joseph Hawkins Jr., M.D., M.P.H.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1902067382
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
259311 Issued in NY
Practice address
345 W 42ND St
New York, NY 10036-6982
Phone
(646) 518-0159
Fax
(646) 518-0160
NPI assigned
Jun 19, 2008
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 259311 NY Primary

Addresses

Primary practice location

345 W 42ND St
New York, NY 10036-6982

Mailing address

545 W 48TH St Apt 304S
New York, NY 10036-1165
Phone (504) 782-3953

Other practice location 1

2501 Jackson Ave
Long Island City, NY 11101-5095
Phone (504) 782-3953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000503 NY Practitioner - Internal Medicine 2062680838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 W 57TH St
New York, NY 10019-3158
Phone (212) 315-2330

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jan 8, 2016 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jan 8, 2016 Accepting new patients
Ryan-Chelsea Clinton Community Health Center PastSince Jan 1, 2014 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

315 W 57th St
New York, NY 10019
Phone (212) 315-2330

345 W 42nd St
New York, NY 10036
Phone (212) 974-2222

Interoperability endpoints

  • Direct secure messaging: jermel.hawkins.1@2983.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ryan-Chelsea Clinton Community Health CenterNew York, NY, CCN 331906 Federally qualified health center Corporate Officer May 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1902067382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W 48TH ST APT 304S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361165",
            "telephone_number": "504-782-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366982",
            "telephone_number": "646-518-0159",
            "fax_number": "646-518-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111015095",
            "country_code": "US",
            "telephone_number": "504-782-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JERMEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "259311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.