Individual provider Active NPI

Joel H Paull, D.D.S., M.D.

  • Plastic and Reconstructive Surgery Physician
  • Niagara Falls, NY
National Provider Identifier
1699748491
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
113986 Issued in NY
Practice address
6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone
(716) 297-7040
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 113986 NY Primary

Addresses

Primary practice location

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071

Mailing address

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone (716) 297-7040

Other identifiers 2

IdentifierTypeStateIssuer
00667276MedicaidNY
005057781OtherNYBLUE SHIELD

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113986NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1699748491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "JOEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "113986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00667276",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "005057781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.