Active NPI
Joseph Francis Ewa, M.D
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1285808105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 180395
- Practice address
- 149 St.Nicholas Ave.
Brooklyn, NY 11237 - Phone
- (718) 246-9166
- Fax
- (718) 715-1302
- NPI assigned
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 180395 | NY | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 180395 | NY |
Addresses
Primary practice location
149 St.Nicholas Ave.
Brooklyn, NY 11237
Mailing address
149 St.Nicholas Ave.
Brooklyn, NY 11237-1518
Phone (718) 246-9166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180395 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Psychiatry Services, P.C. | Psychiatry | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Wyckoff Medical Services, P C | Past | Accepting new patients | |
| Morero-Mardach Medical Group PC | Past | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- josephewa@whmc.allscriptsdirect.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1487958559
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1679775159
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1285808105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 ST.NICHOLAS AVE.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112371518",
"telephone_number": "718-246-9166",
"fax_number": "718-715-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 ST.NICHOLAS AVE.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11237",
"telephone_number": "718-246-9166",
"fax_number": "718-715-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWA",
"first_name": "JOSEPH",
"middle_name": "FRANCIS",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180395",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "180395",
"primary": false
}
],
"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 Dec 17, 2014; 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.