Joel Joven

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005286 Issued in MI

Practice address

2050 N Haggerty Rd
Suite 280
Canton, MI 48187-3795

Phone

(734) 844-0800

NPI assigned

Nov 20, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Functional Endocrinologist PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Woodhaven, MI
  • NPI 1265233514
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1053592915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 280",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-844-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 280",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-844-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVEN",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NO.",
            "identifier": "N20230005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GR. NO.",
            "identifier": "0N20230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Gondoly DDS PC
• Joseph R Smulsky DDS
• Ninan Joseph, PT
• Shaija Joseph, RPH
• Journey to Empowerment
• Constance Joyner, RN
• Megan Jozefowicz, RD
• Jack Edward Juni, M.D.
• K-12 Mobile Dental Express LLC
• Dana Kabbani, MD

• Physical Therapist in Canton, MI
• Providers in Canton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.