Active NPI
Julian Naumoff, MD,CAS
- Contractor
- Roselle, IL
National Provider Identifier
1669540183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 200 Norfolk CT Apt 6
Roselle, IL 60172-4008 - Phone
- (630) 965-6005
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | IL | Primary |
Addresses
Primary practice location
200 Norfolk CT Apt 6
Roselle, IL 60172-4008
Mailing address
200 Norfolk CT Apt 6
Roselle, IL 60172-4008
Phone (630) 965-6005
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000095 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669540183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORFOLK CT APT 6",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601724008",
"telephone_number": "630-965-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORFOLK CT APT 6",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601724008",
"telephone_number": "630-965-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUMOFF",
"first_name": "JULIAN",
"credential": "MD,CAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, IL
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.