Individual provider Active NPI

Nancy I Joseph, DO

  • Allergy & Immunology Physician
  • Boston, MA
National Provider Identifier
1144649575
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
76966 Issued in MN
Practice address
75 State St FL 26
Boston, MA 02109-1827
Phone
(617) 204-3500
NPI assigned
Apr 14, 2014
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 34.013012 OH
Allergy & Immunology Physician 207K00000X 036.174806 IL
Allergy & Immunology Physician 207K00000X 281421 MA
Allergy & Immunology Physician 207K00000X 297572 NY
Allergy & Immunology Physician 207K00000X 76966 MN Primary
General Practice Physician 208D00000X 281421 MA

Addresses

Primary practice location

75 State St FL 26
Boston, MA 02109-1827

Mailing address

75 State St FL 26
Boston, MA 02109-1827

Other practice location 1

33 Cohasset Ave Ste 2
Buzzards Bay, MA 02532-3270
Phone (508) 759-7555

Other practice location 2

Department Of Pediatrics Hsc T 11
Room 040
Stony Brook, NY 11794-8111
Phone (631) 444-2020

Other practice location 3

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

Other practice location 4

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 5

720 N Bond St
Springfield, IL 62702-4952
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MN, IL, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191025000994 MA Practitioner - Allergy/Immunology 7012249907 Reassigns benefits to 2 organizations
I20240529000502 MN Practitioner - Allergy/Immunology 7012249907
I20250625000039 IL Practitioner - Allergy/Immunology 7012249907 Reassigns benefits to 1 organization
I20260617000751 OH Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 7012249907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

720 N Bond St
Springfield, IL 62702-4952
Phone (217) 545-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.174806ILMDAllergy & Immunology Physician
281421MAMDAllergy & Immunology Physician
297572NYMDAllergy & Immunology Physician
34.013012OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 7, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jul 7, 2025 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
South Shore Medical Center, Inc. Allergy & Immunology CurrentSince Dec 6, 2019 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients

Locations

720 N Bond St
Springfield, IL 62702
Phone (217) 545-4777

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

33 Cohasset Ave
Ste 2
Buzzards Bay, MA 02532
Phone (508) 295-5572

40 Tremont St
Ste 52
Duxbury, MA 02332
Phone (781) 934-6200

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

Interoperability endpoints

  • Direct secure messaging: njoseph144139@direct.metrohealth.org

Organizations & group practices 10

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1144649575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 26",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STATE ST FL 26",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091827",
            "telephone_number": "617-204-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Cohasset Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Buzzards Bay",
            "state": "MA",
            "postal_code": "025323270",
            "country_code": "US",
            "telephone_number": "508-759-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Department Of Pediatrics Hsc T 11",
            "address_2": "Room 040",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948111",
            "country_code": "US",
            "telephone_number": "631-444-2020",
            "fax_number": "631-444-2894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Longwater Dr",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611683",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 N Bond St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024952",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-6544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "NANCY",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "34.013012",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.174806",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "281421",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "297572",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "76966",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "281421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.