Provider Demographics
NPI:1952567372
Name:JONES, MAKEDA NAOMI (MD)
Entity type:Individual
Prefix:
First Name:MAKEDA
Middle Name:NAOMI
Last Name:JONES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MAKEDA
Other - Middle Name:NAOMI
Other - Last Name:JONES-JACQUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 EXECUTIVE BLVD STE 178
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6836
Mailing Address - Country:US
Mailing Address - Phone:914-595-1482
Mailing Address - Fax:708-865-7119
Practice Address - Street 1:1 EXECUTIVE BLVD STE 178
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6836
Practice Address - Country:US
Practice Address - Phone:914-595-1482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2441262084F0202X, 2084P0800X, 2084P0804X
NJ25MA119512002084F0202X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R945OtherMEDICARE
TX138708613Medicaid
NY03643230Medicaid