Active NPI
Joseph R Takats III, DO
- Emergency Medicine Physician
- North Tonawanda, NY
National Provider Identifier
1083705776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 111714
- Practice address
- 445 Tremont Street
North Tonawanda, NY 14120 - Phone
- (716) 694-4500
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 111714 | NY | Primary |
| Urgent Care Clinic/Center | 261QU0200X | 111714 | NY |
Addresses
Primary practice location
445 Tremont Street
North Tonawanda, NY 14120
Mailing address
50 Alcona Ave
Amherst, NY 14226-2201
Phone (716) 447-8868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040426001008 | Other | NY | FIDELIS |
| 00653470 | 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111714 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FDR Medical Services P.C. | Emergency Medicine | Past | Accepting new patients |
| Twin City Physicians Group P.C. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1528081809
-
- Emergency Medicine Physician
- North Tonawanda, NY
- NPI 1144299892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1083705776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ALCONA AVE",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262201",
"telephone_number": "716-447-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 TREMONT STREET",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-694-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKATS",
"first_name": "JOSEPH",
"middle_name": "R",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "111714",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": "111714",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426001008",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00653470",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.