Active NPI
Mitchell Josephs, M.D.
- Gastroenterology Physician
- Cortlandt Manor, NY
National Provider Identifier
1063413532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 194981
- Practice address
- 1985 Crompond Rd
Building D
Cortlandt Manor, NY 10567-4146 - Phone
- (914) 739-2400
- Fax
- (914) 739-2691
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 194981-1 | NY | |
| Gastroenterology Physician | 207RG0100X | 194981 | NY | Primary |
Addresses
Primary practice location
1985 Crompond Rd
Building D
Cortlandt Manor, NY 10567-4146
Mailing address
64 Underhill Rd
Ossining, NY 10562-5104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01740087 | 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 |
|---|---|---|---|
| 194981-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1063413532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 UNDERHILL RD",
"city": "OSSINING",
"state": "NY",
"postal_code": "105625104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 CROMPOND RD",
"address_2": "BUILDING D",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674146",
"telephone_number": "914-739-2400",
"fax_number": "914-739-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHS",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "194981-1",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "194981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01740087",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.