Individual provider Active NPI

Miriam Joseph

  • Family Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1699334763
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00917400 Issued in NJ
Practice address
206 Belleville Ave Ste 202
Bloomfield, NJ 07003-3589
Phone
(973) 748-9500
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 26NJ00917400 NJ Primary

Addresses

Primary practice location

206 Belleville Ave Ste 202
Bloomfield, NJ 07003-3589

Mailing address

150 Indian Run Pkwy
Union, NJ 07083-8812
Phone (973) 517-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200210000377 NJ Practitioner - Nurse Practitioner 7719313899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00917400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Judymax Telehealth Services CurrentSince Sep 11, 2022 Accepting new patients
Care Alternatives, Inc. CurrentSince Dec 5, 2021 Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

1600 Saint Georges Ave
Ste 315
Rahway, NJ 07065
Phone (908) 931-9080

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1699334763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 INDIAN RUN PKWY",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838812",
            "telephone_number": "973-517-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELLEVILLE AVE STE 202",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033589",
            "telephone_number": "973-748-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00917400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.