Active NPI
Joseph Richard Ida, NP
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332104-01
- Practice address
- 451 Clarkson Ave
T BLG Room 606
Brooklyn, NY 11203-2057 - Phone
- (718) 245-4485
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332104-01 | NY | Primary |
Addresses
Primary practice location
451 Clarkson Ave
T BLG Room 606
Brooklyn, NY 11203-2057
Mailing address
42 Seaman Ave
Rockville Center, NY 11570-2429
Phone (516) 724-0537
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040517001574 | NY | Practitioner - Nurse Practitioner | 3375533631 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City Medical of Upper East Side PLLCNorth Shore Lij Urgent Care PC
Practice addresses (Care Compare)
1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone (631) 254-5900
5165 Merrick Rd
Massapequa Park, NY 11762-3728
Phone (516) 858-3724
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332104-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| 871 Moses LLC | Current | Accepting new patients | |
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients | |
| Medical Care for You PC | Current | Accepting new patients | |
| Neighborhood Medical PC | Current | Accepting new patients | |
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Brownsville Community Development Corporation | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Circle Medical Care of New York PC | Current | Accepting new patients | |
| Occupational Therapy Group, LLP | Past | Accepting new patients | |
| Lich Faculty Practice | Past | Accepting new patients | |
| Long Island Emergency Care PC | Past | Accepting new patients | |
| Excel Medical PC | Past | Accepting new patients | |
| Long Island College Hospital | Past | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
1343 Webster Ave
Bronx, NY 10456
Phone (917) 453-8417
259 Bristol St
Fl 3
Brooklyn, NY 11212
Phone (718) 342-0060
592 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 345-5000
1930 Deer Park Ave
Deer Park, NY 11729
Phone (631) 254-5900
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
5165 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 858-3724
130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
156 William St
Rm 303
New York, NY 10038
Phone (718) 866-4435
27005 76th Ave
North New Hyde Pk, NY 11040
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061
626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030
Interoperability endpoints
- josephida@nslijmedgr.allscriptsdirect.net
- joseph.ida.1@2983.direct.athenahealth.com
- joseph.ida@ghuc.eclinicaldirectplus.com
Organizations & group practices 19
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1578612412
NY
-
- Urgent Care Clinic/Center
- Bayside, NY
- NPI 1790412443
-
- Urgent Care Clinic/Center
- Norwalk, CT
- NPI 1851132831
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1316681430
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1679916803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1366418287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SEAMAN AVE",
"city": "ROCKVILLE CENTER",
"state": "NY",
"postal_code": "115702429",
"telephone_number": "516-724-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"address_2": "T BLG ROOM 606",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032057",
"telephone_number": "718-245-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDA",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332104-01",
"primary": true
}
],
"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 Mar 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.