Active NPI
Jessica Garland Joseph, NP-C
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1043440134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344978
- Practice address
- 30 Broad St FL 45
New York, NY 10004-2942 - Phone
- (212) 530-0630
- NPI assigned
- Jul 22, 2009
- Last updated
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2333959 | MA | |
| Family Nurse Practitioner | 363LF0000X | F0609417 | GA | |
| Family Nurse Practitioner | 363LF0000X | 084002-23 | NH | |
| Family Nurse Practitioner | 363LF0000X | 344978 | NY | Primary |
Addresses
Primary practice location
30 Broad St FL 45
New York, NY 10004-2942
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0609417 | GA | MD | Family Nurse Practitioner |
| RN2333959 | MA | MD | Family Nurse Practitioner |
| 084002-23 | NH | MD | Family Nurse Practitioner |
| 344978 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Primary Multispecialty Clinic | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Past | Accepting new patients |
Locations
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
30 Broad St
Fl 45
New York, NY 10004
Phone (212) 530-0630
Interoperability endpoints
- jessica.joseph@45970684706820.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Tamuning, GU
- NPI 1518182187
-
dba One Medical at Dartmouth
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
-
- Family Medicine Physician
- New York, NY
- NPI 1528538774
-
dba One Medical
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Multi-Specialty Clinic/Center
- Tamuning, GU
- NPI 1104060839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1043440134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST FL 45",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042942",
"telephone_number": "212-530-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JESSICA",
"middle_name": "GARLAND",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2333959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F0609417",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "084002-23",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.