Organization Active NPI

Joshua & Joshua MD PA

  • Hematology & Oncology Physician
  • Lake Worth, FL
National Provider Identifier
1245629542
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME39021 Issued in FL
Legal business name
JOSHUA & JOSHUA MD PA
Practice address
3918 Via Poinciana
Suite 1
Lake Worth, FL 33467-2991
Phone
(561) 439-4682
Fax
(561) 968-0483
NPI assigned
Jan 10, 2015
Last updated
Jan 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

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

Authorized official

Name
Lynne Lerose
Title
Office Manager
Phone
(561) 439-4682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME39021 FL Primary
Rheumatology Physician 207RR0500X ME39190 FL

Addresses

Primary practice location

3918 Via Poinciana
Suite 1
Lake Worth, FL 33467-2991

Mailing address

3918 Via Poinciana
Suite 1
Lake Worth, FL 33467-2991
Phone (561) 439-4682

Other identifiers 2

IdentifierTypeStateIssuer
066183000MedicaidFL
049594800MedicaidFL

National Provider Directory

National Provider Directory

Locations

3918 Via Poinciana
Ste 1
Lake Worth, FL 33467
Phone (561) 439-4682

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420848000000",
    "number": "1245629542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-439-4682",
            "fax_number": "561-968-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-439-4682",
            "fax_number": "561-968-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA & JOSHUA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-10",
        "last_updated": "2015-01-10",
        "status": "A",
        "authorized_official_last_name": "LEROSE",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-439-4682"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME39021",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME39190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066183000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049594800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; 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.