Active NPI
JSJ Medical Group PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1275785461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JSJ MEDICAL GROUP PC
- Practice address
- 1509 Rockaway Parkway
Brooklyn, NY 11236 - Phone
- (718) 927-0027
- Fax
- (516) 791-6529
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark C. Joseph, MD
- Title
- Owner
- Phone
- (718) 927-0027
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1509 Rockaway Parkway
Brooklyn, NY 11236
Mailing address
1509 Rockaway Parkway
Brooklyn, NY 11236
Phone (718) 927-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- JSJ Medical Group 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Jackson Heights, NY
- NPI 1578881579
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Brooklyn, NY
- NPI 1053479816
-
- Adult Medicine Physician
- Brooklyn, NY
- NPI 1538227392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1275785461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 ROCKAWAY PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "718-927-0027",
"fax_number": "516-791-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 ROCKAWAY PARKWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "718-927-0027",
"fax_number": "516-791-6529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSJ MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-927-0027",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.