Individual provider Active NPI

Joseph Der

  • Orthopedic Assistant
  • Brooklyn, NY
National Provider Identifier
1508422361
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
Practice address
1886 McDonald Ave
Brooklyn, NY 11223-1827
Phone
(718) 336-4513
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X Primary

Addresses

Primary practice location

1886 McDonald Ave
Brooklyn, NY 11223-1827

Mailing address

1886 McDonald Ave
Brooklyn, NY 11223-1827
Phone (718) 336-4513

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

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1508422361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231827",
            "telephone_number": "718-336-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231827",
            "telephone_number": "718-336-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DER",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.