Individual provider Active NPI

Samir Vinodkumar Joshi, MD, DCH, FAAP

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Newark, NJ
National Provider Identifier
1528036787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
M1807 Issued in TX
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(973) 926-7000
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X M1807 TX Primary

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
Newark, NJ 07112-2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050928000820 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 3274508874 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Sep 6, 2012 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Jul 16, 2018 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA CurrentSince Apr 15, 2018 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Nov 12, 2019 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jan 5, 2016 Accepting new patients
Edinburg Emergency Medicine Associates PA Pediatric Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Sep 6, 2012 Accepting new patients
Texas Children'S Physician Group Past Accepting new patients
Emergency Pediatric Physician MGMT LLC Pediatric Emergency Medicine Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

Interoperability endpoints

  • Direct secure messaging: samir.joshi@direct.myhealthep.org

Organizations & group practices 12

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528036787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "SAMIR",
        "middle_name": "VINODKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD, DCH, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "M1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.