Active NPI
Herold Joseph
- Student in an Organized Health Care Education/Training Program
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3601 Federal Hwy
Miami, FL 33137-3795 - Phone
- (305) 576-6611
- NPI assigned
- Oct 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 60-P130603-02 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3601 Federal Hwy
Miami, FL 33137-3795
Mailing address
3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60-P130603-02 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Medical PC | Current | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
211 Lake Shore Rd
Ronkonkoma, NY 11779
Phone (516) 581-1476
Interoperability endpoints
- herold.joseph.1@8506.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1225858715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "HEROLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-10",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "60-P130603-02",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.