NPIMap

Individual provider Active NPI

Merab Joseph, M.D.

  • Specialist
  • Fair Lawn, NJ
National Provider Identifier
1053421032
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07861800 Issued in NJ
Practice address
24-07 Broadway
Fair Lawn, NJ 07410-3053
Phone
(201) 796-4600
Fax
(201) 796-4666
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07861800 NJ Primary

Addresses

Primary practice location

24-07 Broadway
Fair Lawn, NJ 07410-3053

Mailing address

596 Anderson Ave
Suite 208
Cliffside Park, NJ 07010-1831
Phone (201) 941-5757

Other names 1

  • Dr. Merab Iosebashvili Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000500 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 1951396993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

596 Anderson Ave
Suite 208
Cliffside Park, NJ 07010-1856
Phone (201) 941-5757

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100Reported as individual
Quality
75.11
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Diabetes & Endocrinology, P.a. CurrentSince Nov 1, 2008 Accepting new patients
Palisades Medical Associates LLC Past Accepting new patients
Palisades House Physicians, PC Past Accepting new patients

Locations

516 Anderson Ave
Ste 208
Cliffside Park, NJ 07010

596 Anderson Ave
Ste 208
Cliffside Pk, NJ 07010
Phone (201) 941-0041

24-07 Broadway
Fair Lawn, NJ 07410
Phone (201) 796-4600

24-07 Broadway
#A
Fair Lawn, NJ 07410
Phone (201) 791-7760

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEDBA/Endpoint/AHEDBA

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1053421032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 208",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-941-5757",
            "fax_number": "201-941-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-07 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103053",
            "telephone_number": "201-796-4600",
            "fax_number": "201-796-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MERAB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07861800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERAB",
            "last_name": "IOSEBASHVILI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.