Active NPI
Howard Josefberg, MD
- Internal Medicine Physician
- North Bethesda, MD
National Provider Identifier
1366636466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 203 056
- Practice address
- 11140 Rockville Pike
Suite #100-172
North Bethesda, MD 20852 - Phone
- (301) 909-8676
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203 056 | NY | Primary |
Addresses
Primary practice location
11140 Rockville Pike
Suite #100-172
North Bethesda, MD 20852
Mailing address
11140 Rockville Pike
Suite #100-172
North Bethesda, MD 20852
Phone (301) 909-8676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171 7422 | Other | MLP | |
| 763 401 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203 056 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1366636466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 ROCKVILLE PIKE",
"address_2": "SUITE #100-172",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-909-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 ROCKVILLE PIKE",
"address_2": "SUITE #100-172",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-909-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEFBERG",
"first_name": "HOWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "203 056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MLP",
"identifier": "171 7422",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "763 401",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.