Individual provider Active NPI

Joshua H. Brickman, D.M.D.

  • Endodontics
  • New York, NY
National Provider Identifier
1356534580
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
039947 Issued in NY
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

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001253 NY Order and Referring Only - DentistPractitioner - Dentist 3274831706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039947NYMDEndodontist

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

Verify at the official NPI Registry.