Active NPI
Joel Orosa Paraiso, MD
- Neurology Physician
- Grand Island, NE
National Provider Identifier
1396863882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 191123
- Practice address
- 403 Lexington Cir
Grand Island, NE 68803-9728 - Phone
- (402) 773-0115
- Fax
- (402) 773-0119
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 191123 | NY | Primary |
Addresses
Primary practice location
403 Lexington Cir
Grand Island, NE 68803-9728
Mailing address
8 Rose CT
Marlboro, NJ 07746-1980
Phone (732) 557-1699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01604920 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191123 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1396863882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ROSE CT",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461980",
"telephone_number": "732-557-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 LEXINGTON CIR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688039728",
"telephone_number": "402-773-0115",
"fax_number": "402-773-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAISO",
"first_name": "JOEL",
"middle_name": "OROSA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "191123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01604920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.