Jessica Saji Joseph, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME178742 Issued in FL

Practice address

2140 E Edgewood Dr
Lakeland, FL 33803-3604

Phone

(863) 669-1212

Fax

(863) 666-6089

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1528756756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD STE 410",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033604",
            "telephone_number": "863-669-1212",
            "fax_number": "863-666-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Parsons Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "telephone_number": "718-670-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JESSICA",
        "middle_name": "SAJI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME178742",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Angela Jose, OTR/L
• Jaison Joseph Luke, ARNP
• Anne Jessica Joseph
• Ashley Siby Joseph, NP
• Ayanna Amlak Joseph, MD
• Joshua Joseph
• Lynn Tatyana Joseph, RN
• Manolitha Joseph
• Stephanie Joseph
• Tiffany Joseph, MD

• Pediatrics Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.