Provider Demographics
NPI:1912168782
Name:MECCA, JOANNA E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:E
Last Name:MECCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 CHRISTOPHER COLUMBUS DR
Mailing Address - Street 2:APT 1610
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-7005
Mailing Address - Country:US
Mailing Address - Phone:551-427-4889
Mailing Address - Fax:
Practice Address - Street 1:350 E 17TH ST
Practice Address - Street 2:19TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3805
Practice Address - Country:US
Practice Address - Phone:212-420-4056
Practice Address - Fax:212-523-7962
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP01315207R00000X
NY261091208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine