Individual provider Active NPI

Jerry Joseph, MD

  • Psychiatry Physician
  • Franklin Lakes, NJ
National Provider Identifier
1467869727
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
287231 Issued in NY
Practice address
851 Franklin Lake Rd Ste 105
Franklin Lakes, NJ 07417
Phone
(201) 904-2230
Fax
(201) 904-2232
NPI assigned
Jul 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 287231 NY Primary

Addresses

Primary practice location

851 Franklin Lake Rd Ste 105
Franklin Lakes, NJ 07417

Mailing address

851 Franklin Lake Rd Ste 105
Franklin Lakes, NJ 07417-2267
Phone (201) 904-2230

Other practice location 1

1901 1st Ave
New York, NY 10029-7404
Phone (212) 423-7155

Other identifiers 2

IdentifierTypeStateIssuer
P26A34096-10147OtherNYGHI
25MA10139400OtherNJSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjoseph78531@direct-uhnj.org Direct University Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171020000737 NJ Practitioner - Psychiatry 4385910280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Plus NJ IncGroup PAC ID 9436160553, 52 clinicians

Practice addresses (Care Compare)

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287231NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coira Institute PA Psychiatry CurrentSince May 11, 2018 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Sep 20, 2017 Accepting new patients
Care Plus NJ, Inc CurrentSince Jul 6, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 20, 2017 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Jan 8, 2020 Accepting new patients
Care Plus NJ, Inc CurrentSince Jul 6, 2020 Accepting new patients
Care Plus NJ, Inc. Current Accepting new patients

Locations

851 Franklin Lake Rd
Ste 105
Franklin Lakes, NJ 07417
Phone (201) 904-2230

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

9 Post Rd
Ste M2
Oakland, NJ 07436
Phone (201) 651-0051

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Interoperability endpoints

  • Direct secure messaging: jjoseph839853@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1467869727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 105",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172267",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 105",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297404",
            "country_code": "US",
            "telephone_number": "212-423-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "287231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "P26A34096-10147",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA10139400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjoseph78531@direct-uhnj.org",
            "affiliation": "Y",
            "endpointDescription": "Epic",
            "affiliationName": "University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.