Active NPI
Joseph Otolaryngology .P.C.
- Otolaryngology/Facial Plastic Surgery Physician
- West Orange, NJ
National Provider Identifier
1508082777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- MA067103
- Legal business name
- JOSEPH OTOLARYNGOLOGY .P.C.
- Practice address
- 1500 Pleasant Valley Way
Suite 206
West Orange, NJ 07052-2956 - Phone
- (973) 325-1155
- Fax
- (973) 325-8668
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric M Joseph, M.D.
- Title
- Physician
- Phone
- (973) 325-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MA067103 | NJ | Primary |
Addresses
Primary practice location
1500 Pleasant Valley Way
Suite 206
West Orange, NJ 07052-2956
Mailing address
1500 Pleasant Valley
Suite 206
West Orange, NJ 07052
Phone (973) 325-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8442606 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Livingston, NJ
- NPI 1558462556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1508082777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY",
"address_2": "SUITE 206",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-325-1155",
"fax_number": "973-325-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 206",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-325-1155",
"fax_number": "973-325-8668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH OTOLARYNGOLOGY .P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "973-325-1155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NJ",
"license": "MA067103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8442606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.