Individual provider Active NPI

Joseph G. Presto Jr., M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1306172028
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183662 Issued in NY
Practice address
225 W 106TH St Apt 2H
New York, NY 10025-3619
Phone
(212) 865-9168
Fax
(212) 865-9168
NPI assigned
Oct 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183662 NY Primary

Addresses

Primary practice location

225 W 106TH St Apt 2H
New York, NY 10025-3619

Mailing address

225 W 106TH St Apt 2H
New York, NY 10025-3619
Phone (212) 865-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
183662NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1306172028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 106TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253619",
            "telephone_number": "212-865-9168",
            "fax_number": "212-865-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 106TH ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253619",
            "telephone_number": "212-865-9168",
            "fax_number": "212-865-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTO",
        "first_name": "JOSEPH",
        "middle_name": "G.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.