Individual provider Active NPI

Sanoj Muttathu Joseph, FNP- BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1649745076
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343006 Issued in NY
Practice address
2300 Westchester Ave
Bronx, NY 10462-5072
Phone
(718) 409-8888
Fax
(718) 409-8023
NPI assigned
Oct 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343006 NY Primary

Addresses

Primary practice location

2300 Westchester Ave
Bronx, NY 10462-5072

Mailing address

2300 Westchester Ave
Bronx, NY 10462-5072
Phone (718) 409-8888

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
I20190108001801 NY Practitioner - Nurse Practitioner 8921344250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343006NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 16, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Nov 16, 2018 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations (25 of 28)

250 Thurman Munson Way
Rm 236
Bronx, NY 10451
Phone (718) 401-6483

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

502 Morris Ave
Bronx, NY 10451
Phone (718) 401-6030

1449 Shakespeare Ave
Bronx, NY 10452
Phone (332) 244-8055

500 E Fordham Rd
Bronx, NY 10458
Phone (718) 329-1276

800 E Gun Hill Rd
Bronx, NY 10467
Phone (347) 326-8488

3010 Briggs Ave
Bronx, NY 10458
Phone (718) 563-5263

1600 Webster Ave
Bronx, NY 10457
Phone (718) 295-5180

2400 Marion Ave
Bronx, NY 10458
Phone (718) 584-5275

2780 Reservoir Ave
Bronx, NY 10468
Phone (718) 329-8589

1980 Lafayette Ave
Bronx, NY 10473
Phone (718) 794-7070

977 Fox St
Bronx, NY 10459
Phone (718) 617-4449

1110 Boston Rd
Bronx, NY 10456
Phone (718) 860-2515

1501 Jerome Ave
Bronx, NY 10452
Phone (718) 294-8111

3000 E Tremont Ave
Bronx, NY 10461
Phone (718) 430-6375

240 E 172nd St
Bronx, NY 10457
Phone (718) 293-9569

3710 Barnes Ave
Bronx, NY 10467
Phone (718) 237-7690

111 E 210th St
Bronx, NY 10467

456 White Plains Rd
Bronx, NY 10473
Phone (718) 617-5046

701 Saint Anns Ave
Bronx, NY 10455
Phone (718) 402-7618

925 Astor Ave
Bronx, NY 10469
Phone (718) 293-9569

3961 Hillman Ave
Bronx, NY 10463
Phone (718) 548-3451

1180 Tinton Ave
Bronx, NY 10456
Phone (718) 842-8133

450 Saint Pauls Pl
Bronx, NY 10456
Phone (718) 579-7133

1861 Anthony Ave
Bronx, NY 10457
Phone (718) 583-6444

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sajoseph@montefioredirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1649745076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625072",
            "telephone_number": "718-409-8888",
            "fax_number": "718-409-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625072",
            "telephone_number": "718-409-8888",
            "fax_number": "718-409-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SANOJ",
        "middle_name": "MUTTATHU",
        "name_prefix": "Mr.",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.