Individual provider Active NPI

Indira Gjoni, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1992094726
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09564700 Issued in NJ
Practice address
535 5TH Ave
Room 603
New York, NY 10017
Phone
(646) 200-5750
Fax
(833) 322-1167
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MA09564700 NJ Primary

Addresses

Primary practice location

535 5TH Ave
Room 603
New York, NY 10017

Mailing address

535 5TH Ave
Room 603
New York, NY 10017
Phone (646) 200-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 13, 2026 through Feb 13, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 S Bedford Rd
Mount Kisco, NY 10549-3446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09564700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue Medical Wellness PC Family Medicine CurrentSince Nov 24, 2025 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

535 5th Ave
Rm 603
New York, NY 10017
Phone (646) 200-5750

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.indiragjoni@136290.advancedmd-direct.com
  • Direct secure messaging: igjoni145210@direct.optum.com
  • Direct secure messaging: indira.gjoni@692164750016516.direct.elationemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1992094726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE",
            "address_2": "ROOM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-200-5750",
            "fax_number": "833-322-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE",
            "address_2": "ROOM 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-200-5750",
            "fax_number": "833-322-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJONI",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09564700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.