Mark C Joseph, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

215069 Issued in NY

Practice address

1509 Rockaway Pkwy
Brooklyn, NY 11236

Phone

(718) 927-0027

Fax

(516) 791-6529

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JSJ Medical Group PCGroup PAC ID 9739249434, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• JSJ Medical Group PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1275785461
  Medicare reassignment Care Compare group NPD Authorized official
• JSJ Medical Group 2

  • Multi-Specialty Clinic/Center
  • Jackson Heights, NY
  • NPI 1578881579
  NPD Authorized official
• Anastasios Pelias, M.D.,PC

  • Vascular Surgery Physician
  • Merrick, NY
  • NPI 1346445806
  NPD (past)
• N. S. So Island Diag GRP

  • Clinical Medical Laboratory
  • Rockaway Beach, NY
  • NPI 1043492374
  NPD (past)
• South Island Medical Associates PC

  • Adult Medicine Physician
  • Far Rockaway, NY
  • NPI 1386702165
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1053479816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LAFAYETTE PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982138",
            "telephone_number": "516-374-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-927-0027",
            "fax_number": "516-791-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "215069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02059052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manika Joseph
• Marcelle Joseph
• Margareth Joseph
• Maria Joseph, SOCIAL WORKER
• Marie Edme Joseph, SOCIAL WORKER
• Marlena Joseph
• Marlo Joseph
• Marvaline Joseph
• Masala Joseph, R
• Mayasa Joseph

• Adult Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.

Verify at the official NPI Registry.