Active NPI
Marjorie Joseph, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1376619064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 221629
- Practice address
- 66 W 94TH St
1A
New York, NY 10025-7137 - Phone
- (212) 865-1208
- Fax
- (212) 865-1696
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 221629 | NY | Primary |
Addresses
Primary practice location
66 W 94TH St
1A
New York, NY 10025-7137
Mailing address
PO Box 95000-2388
Philadelphia, PA 19195-2388
Phone (212) 308-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221629 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 221629 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1376619064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2388",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952388",
"telephone_number": "212-308-1112",
"fax_number": "212-308-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 W 94TH ST",
"address_2": "1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257137",
"telephone_number": "212-865-1208",
"fax_number": "212-865-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "MARJORIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "221629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "221629",
"state": "NY"
}
],
"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 Nov 19, 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.