Active NPI
Joseph P Nathan, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1649396763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041217
- Practice address
- 75 Dekalb Ave
Brooklyn, NY 11201-5423 - Phone
- (718) 488-1251
- Fax
- (718) 488-1254
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041217 | NY | Primary |
Addresses
Primary practice location
75 Dekalb Ave
Brooklyn, NY 11201-5423
Mailing address
1709 Avenue I
Brooklyn, NY 11230-3109
Phone (718) 377-2448
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041217 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649396763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 AVENUE I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303109",
"telephone_number": "718-377-2448",
"fax_number": "718-488-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 DEKALB AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015423",
"telephone_number": "718-488-1251",
"fax_number": "718-488-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "JOSEPH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041217",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.