Organization Active NPI

Mark Josel, M.D.,P.C.

  • Internal Medicine Physician
  • Bloomfield, CT
National Provider Identifier
1720196413
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARK JOSEL, M.D.,P.C.
Practice address
4 Northwestern Drive
BLDG 4 Ste #100
Bloomfield, CT 06002
Phone
(860) 243-3344
Fax
(860) 242-2804
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Mark Josel
Title
Owner President
Phone
(860) 243-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4 Northwestern Drive
BLDG 4 Ste #100
Bloomfield, CT 06002

Mailing address

4 Northwestern Drive
BLDG 4 Ste #100
Bloomfield, CT 06002
Phone (860) 243-3344

Other identifiers 1

IdentifierTypeStateIssuer
4234837MedicaidCT

National Provider Directory

National Provider Directory

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1720196413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DRIVE",
            "address_2": "BLDG 4 STE #100",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "06002",
            "telephone_number": "860-243-3344",
            "fax_number": "860-242-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWESTERN DRIVE",
            "address_2": "BLDG 4 STE #100",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "06002",
            "telephone_number": "860-243-3344",
            "fax_number": "860-242-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JOSEL, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "JOSEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "860-243-3344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234837",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.