Joshua Dyme

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

25MA08047500 Issued in NJ

Practice address

155 Polifly Rd
Suite 106
Hackensack, NJ 07601-1758

Phone

(201) 487-7617

Fax

(201) 342-5341

NPI assigned

Jun 22, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1215973730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD",
            "address_2": "SUITE 106",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011758",
            "telephone_number": "201-487-7617",
            "fax_number": "201-342-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD",
            "address_2": "SUITE 106",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011758",
            "telephone_number": "201-487-7617",
            "fax_number": "201-342-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYME",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA08047500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Durante
• Nancy Durning, APN
• Nicole Dushkin, MD
• Laura Dutu, M.D.
• Donna Dvorachek, MS
• Dynamic Surgery Center LLC
• Earl V. Sandor MD LLC
• Carly Alexis Earle
• East Coast Aesthetic Surgery
• East Coast Surgical & Medical Supply, LLC

• Pediatric Cardiology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pediatric Cardiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.