MEDICARE: MONICA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1801467238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA JONES

Provider Business Mailing Address
First Line	:	1280 LEXINGTON AVE FRNT 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2136
Country	:	US
Telephone Number	:	917-983-5476
Fax Number	:	504-579-8715

Provider Business Practice Location Address
First Line	:	2130 1ST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3321
Country	:	US
Telephone Number	:	917-983-5476
Fax Number	:	504-579-8715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	07/07/2021

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Directions to “ MONICA JONES ” Practice Location

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