Individual provider Active NPI

Joseph Jalas, MSED

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1457875577
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
17 Taft CT
Staten Island, NY 10314-4139
Phone
(718) 577-2240
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NY Primary

Addresses

Primary practice location

17 Taft CT
Staten Island, NY 10314-4139

Mailing address

17 Taft CT
Staten Island, NY 10314-4139
Phone (718) 577-2240

Other names 1

  • Mr. Joseph Jalas Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Level Ahead Licensed Behavior Analyst PC Behavior Analyst CurrentSince Jul 1, 2022 Accepting new patients
Level Ahead Georgia LLC Behavior Analyst Current Accepting new patients

Locations

4208 18th Ave
Brooklyn, NY 11218
Phone (718) 577-2240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1457875577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TAFT CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144139",
            "telephone_number": "718-577-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TAFT CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144139",
            "telephone_number": "718-577-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAS",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "JALAS",
            "prefix": "MR.",
            "credential": "MSED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.