Active NPI
Nicholas Joseph, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Southfield, MI
National Provider Identifier
1700152014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301101234
- Practice address
- 24463 W 10 Mile Rd
Pace Southeast Michigan
Southfield, MI 48033-2931 - Phone
- (855) 445-4554
- NPI assigned
- Mar 30, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301101234 | MI | Primary |
Addresses
Primary practice location
24463 W 10 Mile Rd
Pace Southeast Michigan
Southfield, MI 48033-2931
Mailing address
24463 W 10 Mile Rd
Pace Southeast Michigan
Southfield, MI 48033-2931
Phone (855) 445-4554
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jet Health Physician Group, PLLC | Geriatric Medicine | Current | Accepting new patients |
| MMS Audiology LLC | Past | Accepting new patients |
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Northville, MI
- NPI 1194588368
-
- Audiologist
- Bingham Farms, MI
- NPI 1467937862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1700152014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24463 W 10 MILE RD",
"address_2": "PACE SOUTHEAST MICHIGAN",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332931",
"telephone_number": "855-445-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24463 W 10 MILE RD",
"address_2": "PACE SOUTHEAST MICHIGAN",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332931",
"telephone_number": "855-445-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301101234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.