Individual provider Active NPI

Merin Sanoj Joseph, RN, MSN, FNP- BC

  • Family Nurse Practitioner
  • Somers, NY
National Provider Identifier
1083032882
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338155 Issued in NY
Practice address
189 Route 100
Somers, NY 10589-2811
Phone
(914) 232-5101
NPI assigned
Mar 31, 2014
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338155 NY Primary

Addresses

Primary practice location

189 Route 100
Somers, NY 10589-2811

Mailing address

40 Moore Ave
Apt 5 V
Mount Kisco, NY 10549-3115
Phone (347) 684-0386

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001695 NY Practitioner - Nurse Practitioner 5698999852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chess Medicine PLLCGroup PAC ID 6406260736, 16 clinicians

Practice addresses (Care Compare)

100 New Turnpike Rd
Troy, NY 12182-1412
Phone (203) 666-8145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
338155NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince May 2, 2014 Accepting new patients
Chess Medicine PLLC CurrentSince Jan 31, 2023 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 2, 2014 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

6060 Armor Rd
Orchard Park, NY 14127
Phone (716) 662-2544

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

189 Route 100
Somers, NY 10589
Phone (914) 232-5101

7 Hemion Rd
Ste 110
Suffern, NY 10901

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1083032882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MOORE AVE",
            "address_2": "APT 5 V",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493115",
            "telephone_number": "347-684-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ROUTE 100",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892811",
            "telephone_number": "914-232-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MERIN",
        "middle_name": "SANOJ",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

Verify at the official NPI Registry.