Individual provider Active NPI

Jijoe Joseph

  • Emergency Medicine Physician
  • Middletown, NY
National Provider Identifier
1336521178
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10811300 Issued in NJ
Practice address
707 E Main St
Middletown, NY 10940-2650
Phone
(845) 333-1138
NPI assigned
Jun 28, 2015
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 289379 NY
Emergency Medicine Physician 207P00000X 25MB10811300 NJ Primary
General Practice Physician 208D00000X 289379 NY

Addresses

Primary practice location

707 E Main St
Middletown, NY 10940-2650

Mailing address

2 Burd St Apt 1104
Nyack, NY 10960-3244
Phone (914) 484-1407

Other practice location 1

154 NJ-10
East Hanover, NJ 07936
Phone (973) 920-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191202002318 NY Practitioner - General PracticePractitioner - Emergency Medicine 4789017906 Reassigns benefits to 11 organizations
I20200609002793 NJ Practitioner - Emergency Medicine 4789017906 Reassigns benefits to 4 organizations
I20201005001218 CT Practitioner - Emergency Medicine 4789017906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

154 State Route 10
East Hanover, NJ 07936-2107
Phone (973) 920-3090

175 Memorial Hwy
Suite 1 1
New Rochelle, NY 10801-5639
Phone (914) 460-4891

3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Emergency Medicine CurrentSince May 3, 2020 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine Current Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Kingsbrook Medical Associates, PC Current Accepting new patients
Fuse Medical PLLC CurrentSince Jan 1, 2023 Accepting new patients
Liberty Physician Partners PC CurrentSince May 11, 2025 Accepting new patients
Jersey Irish Medical CurrentSince Dec 1, 2021 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince May 22, 2022 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Park Hill Emergency Physician Services Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Ellenville Emergency Medical Associates PLLC Emergency Medicine CurrentSince Oct 18, 2021 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Divinity Medical Services PLLC CurrentSince Aug 1, 2023 Accepting new patients
Emergency Care Services of Connecticut, P.C. Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Kingsbrook Medical Associates PC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Oct 6, 2019 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince May 3, 2020 Accepting new patients
Emergency Medical Association of New York PC Emergency Medicine CurrentSince Apr 14, 2022 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations (25 of 27)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

154 State Route 10
East Hanover, NJ 07936
Phone (973) 887-0216

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

175 Memorial Hwy
Ste 1-1
New Rochelle, NY 10801
Phone (914) 235-3535

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1336521178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURD ST APT 1104",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603244",
            "telephone_number": "914-484-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-1138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 NJ-10",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "07936",
            "country_code": "US",
            "telephone_number": "973-920-3090",
            "fax_number": "973-920-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JIJOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "289379",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10811300",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "289379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.