Individual provider Active NPI

Stephanie Pulikkottil Joseph, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Middletown, NY
National Provider Identifier
1548558133
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
307576 Issued in NY
Practice address
707 E Main St
Middletown, NY 10940-2650
Phone
(845) 333-7575
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 307576 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X A137779 CA

Addresses

Primary practice location

707 E Main St
Middletown, NY 10940-2650

Mailing address

10680 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8420
Phone (725) 209-3053

Other practice location 1

925 N La Brea Ave Ste 400
West Hollywood, CA 90038-2458
Phone (725) 209-3053

Other practice location 2

136 Madison Ave
5th and 6th FL
New York, NY 10016-6711
Phone (725) 209-3053

Other practice location 3

5809 W Modoc Ave
Visalia, CA 93291-8527
Phone (725) 209-3053

Other practice location 4

5852 Corral Way
LA Jolla, CA 92037-7423
Phone (725) 209-3053

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjoseph71974@direct.garnethealth.org Direct Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150826001412 CA Practitioner - Physical Medicine and Rehabilitation 2668788308 Reassigns benefits to 1 organization
I20210202001273 NY Practitioner - Physical Medicine and Rehabilitation 2668788308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telehealth Clinical Evals LLCGroup PAC ID 2860816725, 10 clinicians

Practice addresses (Care Compare)

136 Madison Ave
New York, NY 10016-6711
Phone (725) 209-3053

5852 Corral Way
La Jolla, CA 92037-7423
Phone (725) 309-3053

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307576NYMDSchool Registered Nurse
A137779CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Vista Medical,PC CurrentSince Nov 2, 2020 Accepting new patients
Telehealth Clinical Evals LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 200
Carlsbad, CA 92011

10680 Medlock Bridge Rd
Ste 101
Johns Creek, GA 30097

34 Upper Riverdale Rd SE
Ste 101
Riverdale, GA 30274
Phone (470) 292-3820

9505 Hillwood Dr
Ste 100
Las Vegas, NV 89134
Phone (702) 303-4220

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

19 Laurel Ave
#1
Cornwall, NY 12518
Phone (845) 534-7080

136 Madison Ave
Fl 5
New York, NY 10016
Phone (212) 828-7473

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1548558133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MEDLOCK BRIDGE RD STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978420",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 N La Brea Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900382458",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Madison Ave",
            "address_2": "5th and 6th FL",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166711",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5809 W Modoc Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932918527",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5852 Corral Way",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920377423",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "STEPHANIE",
        "middle_name": "PULIKKOTTIL",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "307576",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A137779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjoseph71974@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "707 E Main St",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109402650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.