Active NPI
Jacques Josaphat
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
National Provider Identifier
1083818843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 16180
- Practice address
- 440 Lenox Rd Ste 1C
Brooklyn, NY 11203-2042 - Phone
- (718) 221-6170
- Fax
- (718) 270-3373
- NPI assigned
- Jun 13, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16180 | PR | Primary |
Addresses
Primary practice location
440 Lenox Rd Ste 1C
Brooklyn, NY 11203-2042
Mailing address
5525 98TH St Apt 1G
Flushing, NY 11368-3010
Phone (718) 760-8770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16180 | PR | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083818843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 98TH ST APT 1G",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113683010",
"telephone_number": "718-760-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 LENOX RD STE 1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032042",
"telephone_number": "718-221-6170",
"fax_number": "718-270-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSAPHAT",
"first_name": "JACQUES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PR",
"license": "16180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.