Jet Health Physician Group, PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

JET HEALTH PHYSICIAN GROUP, PLLC

Practice address

993 Coldspring Dr
Northville, MI 48167-1085

Phone

(313) 407-3807

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas A Joseph, MDNPI 1700152014

Title

Ceo

Phone

(313) 407-3807

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Joseph, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Southfield, MI
  • NPI 1700152014
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1194588368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 COLDSPRING DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671085",
            "telephone_number": "313-407-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 COLDSPRING DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671085",
            "telephone_number": "313-407-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET HEALTH PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-407-3807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Janczak, LMT
• Maribeth P. Janer, M.S.W.
• Kathleen Marie Janus, RPH
• Gary Edwin Jeffers, D.M.D.
• Jerome S Mehler DDS PLLC
• Joe Syriac
• Justin John-George, PT
• Carol Ann Johnson
• Vimal Johnson
• Melissa Nicole Johnston, BCBA, LBA

• Geriatric Medicine (Internal Medicine) Physician in Northville, MI
• Providers in Northville, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.