Active NPI
Joshua H. Brickman, D.M.D.
- Endodontics
- New York, NY
National Provider Identifier
1356534580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 039947
- Practice address
- 1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514 - Phone
- (212) 832-1414
- Fax
- (212) 832-2575
- NPI assigned
- Aug 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 039947 | NY | Primary |
Addresses
Primary practice location
1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514
Mailing address
1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514
Phone (212) 832-1414
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160415001253 | NY | Order and Referring Only - Dentist | 3274831706 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039947 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1356534580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 AVENUE OF THE AMERICAS",
"address_2": "19TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192514",
"telephone_number": "212-832-1414",
"fax_number": "212-832-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 AVENUE OF THE AMERICAS",
"address_2": "19TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192514",
"telephone_number": "212-832-1414",
"fax_number": "212-832-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKMAN",
"first_name": "JOSHUA",
"middle_name": "H.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "039947",
"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 Aug 21, 2007; 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.