Active NPI
George Joseph, MD
- Psychiatry Physician
- Kingston, NY
National Provider Identifier
1023178209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 110971
- Practice address
- 150 Aaron Court
Kingston, NY 12402 - Phone
- (845) 338-6272
- Fax
- (845) 338-2238
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 110971 | NY | Primary |
Addresses
Primary practice location
150 Aaron Court
Kingston, NY 12402
Mailing address
PO Box 3906
150 Aaron Court
Kingston, NY 12402
Phone (845) 338-6272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00485209 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110971 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023178209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3906",
"address_2": "150 AARON COURT",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12402",
"telephone_number": "845-338-6272",
"fax_number": "845-338-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 AARON COURT",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12402",
"telephone_number": "845-338-6272",
"fax_number": "845-338-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "110971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00485209",
"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 8, 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.