Individual provider Active NPI

Joseph Haluska, DO

  • Family Medicine Physician
  • Elmira, NY
National Provider Identifier
1447260740
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222016 Issued in NY
Practice address
160 N Main St Ste 130
Elmira, NY 14901-2939
Phone
(607) 767-6893
Fax
(866) 453-2143
NPI assigned
Aug 9, 2006
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222016 NY Primary

Addresses

Primary practice location

160 N Main St Ste 130
Elmira, NY 14901-2939

Mailing address

160 N Main St Ste 130
Elmira, NY 14901-2939
Phone (607) 767-6893

Other identifiers 1

IdentifierTypeStateIssuer
02365653MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000339 NY Practitioner - Family PracticePractitioner - Emergency Medicine 9931192994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 N Main St
Suite 130
Elmira, NY 14901-2939
Phone (607) 767-6893

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
222016NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Emergency Physicians Emergency Medicine Past Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients
Chemung Medical Services PC Emergency Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Arnot Medical Services PLLC Emergency Medicine PastSince Apr 1, 2012 Accepting new patients
James B Roush Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: waterstreetwestintegrativemedicine.josephhaluska@134016.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1447260740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAIN ST STE 130",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012939",
            "telephone_number": "607-767-6893",
            "fax_number": "866-453-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAIN ST STE 130",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012939",
            "telephone_number": "607-767-6893",
            "fax_number": "866-453-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALUSKA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.