Active NPI
Prestige 2
- General Practice Physician
- Crown Point, IN
National Provider Identifier
1174222830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PRESTIGE 2
- Practice address
- 11360 Broadway
Crown Point, IN 46307-7197 - Phone
- (219) 301-2624
- NPI assigned
- Mar 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay K Joshi, MD
- Title
- Owner
- Phone
- (630) 430-8024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
11360 Broadway
Crown Point, IN 46307-7197
Mailing address
PO Box 578220
Chicago, IL 60657-7303
Phone (773) 935-4700
Other practice location 1
7134 Calumet Ave
Hammond, IN 46324-2406
Phone (219) 301-2624
National Provider Directory
National Provider DirectoryLocations
11360 Broadway
Crown Point, IN 46307
Phone (219) 600-4656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Crown Point, IN
- NPI 1497047435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1174222830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578220",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577303",
"telephone_number": "773-935-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11360 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077197",
"telephone_number": "219-301-2624"
}
],
"practiceLocations": [
{
"address_1": "7134 Calumet Ave",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "IN",
"postal_code": "463242406",
"country_code": "US",
"telephone_number": "219-301-2624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRESTIGE 2",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-01",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "JOSHI",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-430-8024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.