Joseph Motta MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

194905 Issued in NY

Legal business name

JOSEPH MOTTA MD PC

Practice address

1200 South Ave
Suite 301
Staten Island, NY 10314-3413

Phone

(718) 370-1400

Fax

(718) 370-9290

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Motta, MD

Title

President

Phone

(718) 370-1400

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1154323897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE",
            "address_2": "SUITE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143413",
            "telephone_number": "718-370-1400",
            "fax_number": "718-370-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE",
            "address_2": "SUITE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143413",
            "telephone_number": "718-370-1400",
            "fax_number": "718-370-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MOTTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "MOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-370-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "194905",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "194905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01817963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.