Jordan S Josephson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

165057 Issued in NY

Practice address

205 E 76TH St
Suite M-1
New York, NY 10021-2147

Phone

(212) 717-1773

Fax

(212) 472-0134

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1194883660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-717-1773",
            "fax_number": "212-472-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-717-1773",
            "fax_number": "212-472-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHSON",
        "first_name": "JORDAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "165057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saleem Josephs, DDS
• Anne Josephson
• Braden R Josephson, PH.D.
• Eric Jeffrey Josephson, DMD
• Eve Josephson, LMSW
• Megan Josephson
• Pascale Tatiana Josephson, MSED, MSOT, OTR/L
• Paul J Josephson, LCSW
• Sheila Bloom Josephson, PH.D.
• Sophia Josephson

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.