NPIMap

Organization Active NPI

BSD Nephrology and Hypertension PA

  • Nephrology Physician
  • Hackensack, NY
National Provider Identifier
1720016041
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BSD NEPHROLOGY AND HYPERTENSION PA
Practice address
160 Overlook Ave
Suite 1a
Hackensack, NY 07601
Phone
(201) 646-0110
Fax
(201) 646-0219
NPI assigned
Jun 28, 2006
Last updated
Dec 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Rosy E Joseph, MDNPI 1497774350
Title
Owner
Phone
(201) 646-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

160 Overlook Ave
Suite 1a
Hackensack, NY 07601

Mailing address

360 Essex St Ste 301
Hackensack, NJ 07601-8566
Phone (201) 646-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000005 NJ Part B Supplier - Clinic/Group Practice 4082644158 Receives reassigned benefits from 12 practitioners
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

360 Essex St
Hackensack, NJ 07601
Phone (201) 336-8686

360 Essex St
Ste 304
Hackensack, NJ 07601
Phone (201) 646-0110

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1720016041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST STE 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018566",
            "telephone_number": "201-646-0110",
            "fax_number": "201-646-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE",
            "address_2": "SUITE 1A",
            "city": "HACKENSACK",
            "state": "NY",
            "postal_code": "07601",
            "telephone_number": "201-646-0110",
            "fax_number": "201-646-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSD NEPHROLOGY AND HYPERTENSION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROSY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-646-0110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.