Individual provider Active NPI

Joseph Richard Ida, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1366418287
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332104-01 Issued in NY
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

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 0648465039, 658 clinicians
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

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 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
F332104-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Development Corporation CurrentSince Feb 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 21, 2024 Accepting new patients
871 Moses LLC CurrentSince Oct 1, 2025 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 1, 2017 Accepting new patients
Medical Care for You PC CurrentSince Oct 1, 2025 Accepting new patients
Neighborhood Medical PC CurrentSince Jun 1, 2025 Accepting new patients
Brownsville Community Development Corporation CurrentSince Feb 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 21, 2024 Accepting new patients
Brownsville Community Development Corporation CurrentSince Feb 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Circle Medical Care of New York PC CurrentSince Jul 5, 2025 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 PastSince Oct 1, 2018 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

  • Direct secure messaging: josephida@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: joseph.ida.1@2983.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 19

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

Verify at the official NPI Registry.