Active NPI
Mark Josefski, MD
- Family Medicine Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 179174
- Practice address
- 1 Family Practice Dr
Kingston, NY 12401-6449 - Phone
- (845) 338-6400
- Fax
- (845) 339-7288
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 179174 | NY | Primary |
Addresses
Primary practice location
1 Family Practice Dr
Kingston, NY 12401-6449
Mailing address
279 Main St
Suite 204
New Paltz, NY 12561-1623
Phone (845) 255-3046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01800655 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000668 | NY | Practitioner - Family Practice | 4183681984 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Institute for Family Health
Practice addresses (Care Compare)
1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179174 | NY | MD | Family Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| Mid-Hudson Family Health Institute | Family Medicine | Past | Accepting new patients |
| The Institute for Family Health | Family Medicine | Past | Accepting new patients |
Locations
6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500
1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562
279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046
279 Main St
Ste 201
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
Ste 102
New Paltz, NY 12561
Phone (845) 255-2930
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
16 E 16th St
New York, NY 10003
Phone (212) 633-0800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
- New York, NY
- NPI 1295729408
Family Medicine, NY
-
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- NPI 1477827624
Family Medicine
-
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- New York, NY
- NPI 1972877017
Family Medicine
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1326093642
Family Medicine
-
- Family Medicine Physician
- Kingston, NY
- NPI 1194098251
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1013968569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 MAIN ST",
"address_2": "SUITE 204",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125611623",
"telephone_number": "845-255-3046",
"fax_number": "845-255-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FAMILY PRACTICE DR",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124016449",
"telephone_number": "845-338-6400",
"fax_number": "845-339-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEFSKI",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "179174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01800655",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.