Active NPI
Patricia K Joseph MD PC
- Surgery Physician
- Englewood, NJ
National Provider Identifier
1003008434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03995700
- Legal business name
- PATRICIA K JOSEPH MD PC
- Practice address
- 200 Grand Ave
Suite 202
Englewood, NJ 07631 - Phone
- (201) 567-5111
- NPI assigned
- Aug 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia K Joseph, MD
- Title
- President
- Phone
- (201) 567-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA03995700 | NJ | Primary |
Addresses
Primary practice location
200 Grand Ave
Suite 202
Englewood, NJ 07631
Mailing address
200 Grand Ave
Suite 202
Englewood, NJ 07631
Phone (201) 567-5111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1003008434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GRAND AVE",
"address_2": "SUITE 202",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND AVE",
"address_2": "SUITE 202",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "07631",
"telephone_number": "201-567-5111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA K JOSEPH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-567-5111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NJ",
"license": "25MA03995700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.