Individual provider Active NPI

Jonathan Josephs

  • Dentist
  • Palm Beach, FL
National Provider Identifier
1457986648
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25611 Issued in FL
Practice address
44 Cocoanut Row Ste 206
Palm Beach, FL 33480-4069
Phone
(561) 832-4675
NPI assigned
Mar 8, 2020
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25611 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

44 Cocoanut Row Ste 206
Palm Beach, FL 33480-4069

Mailing address

44 Cocoanut Row Ste 206
Palm Beach, FL 33480-4069
Phone (617) 658-3382

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.josephs@tufts.edu Direct Tufts University School of Dental Medicine

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

State licenses

LicenseStateTypeSpecialty
DN25611FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald Feldman DPM PC PastSince May 1, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1457986648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COCOANUT ROW STE 206",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804069",
            "telephone_number": "617-658-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COCOANUT ROW STE 206",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804069",
            "telephone_number": "561-832-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHS",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25611",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.josephs@tufts.edu",
            "affiliation": "Y",
            "endpointDescription": "student provider email",
            "affiliationName": "Tufts University School of Dental Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Kneeland St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021111527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.