Individual provider Active NPI

Cathleen Jean Joseph, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1568634228
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335532 Issued in NY
Practice address
2440 Ridgeway Ave
Suite 100
Rochester, NY 14626-4145
Phone
(585) 720-1550
Fax
(585) 720-1553
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 499833 NY
Family Nurse Practitioner 363LF0000X 335532 NY Primary

Addresses

Primary practice location

2440 Ridgeway Ave
Suite 100
Rochester, NY 14626-4145

Mailing address

2440 Ridgeway Ave
Suite 100
Rochester, NY 14626-4145
Phone (585) 720-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000600 NY Practitioner - Nurse Practitioner 9133293343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Nurse Practitioner PCGroup PAC ID 6901221795, 45 clinicians
Supportive Care Psychiatry of Ny PCGroup PAC ID 4981076247, 15 clinicians

Practice addresses (Care Compare)

191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689

5075 W Seneca Tpke
Syracuse, NY 13215-3216
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
499833NYMDRegistered Nurse
335532NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Nurse Practitioner P.C Family CurrentSince Jan 13, 2025 Accepting new patients

Locations

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1568634228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264145",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264145",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN JOSEPH",
        "first_name": "CATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "499833",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.