DR. JEEJI YOHANNAN MATHUNNY MD
NPI 1770726549
Pediatrics in Staten Island, NY

Active since April 09, 2009PECOS Enrolled
2079 FOREST AVE, STATEN ISLAND, NY 10303(718) 815-6560 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jeeji Yohannan Mathunny Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEEJI YOHANNAN MATHUNNY MD (NPI 1770726549) is an individual pediatrics provider in Staten Island, New York, licensed in New York (252669) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1770726549
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JEEJI YOHANNAN MATHUNNYCredential: MD
Location Address2079 FOREST AVEStaten Island, NY 10303-1735
Mailing Address2079 Forest AveStaten Island, NY 10303-1865 · (718) 815-6560
Sole ProprietorYes
Enumeration DateApril 9, 2009
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1770726549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 252669
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2079 FOREST AVE, Staten Island, NY 10303

Secondary Practice Location 1

Location 12031 Forest AveStaten Island, NY 10303-1733 · Phone (718) 815-6560

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeeji Yohannan Mathunny Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeeji Mathunny reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
1042 HUGUENOT AVE
Staten Island, NY 10312
  • Reassigned Medicare billing, New York enrollment
  • 530 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Social Worker
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nurse Practitioner (Family)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Dietitian, Registered
2079 FOREST AVE
STATEN ISLAND, NY 10303
Pediatrics
2079 FOREST AVE
STATEN ISLAND, NY 10303
Counselor (Mental Health)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Physician Assistant (Medical)
2079 FOREST AVE
STATEN ISLAND, NY 10303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeeji Mathunny's NPI number?

The NPI number for Jeeji Mathunny is 1770726549. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Jeeji Mathunny located?

Jeeji Mathunny practices at 2079 Forest Ave, Staten Island, NY 10303. The listed phone number is (718) 815-6560.

What is Jeeji Mathunny's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeeji Mathunny enrolled in Medicare?

Yes. Jeeji Mathunny is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeeji Mathunny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeeji Mathunny reassigns Medicare benefits to 3 organizations: Physicians Of University Hospital PC (Staten Island, NY), Sun River Health Inc (Bronx, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeeji Mathunny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeeji Mathunny was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.