Pascale Josama, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Stamford, CT

NPI 1922591056 · NPPES record last updated Apr 27, 2023

Key facts

NPI
1922591056
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
318534 (NY)
Practice address
1 Hospital PLZ
Stamford, CT 06902-3602
Phone
(203) 276-7581
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MMC OB/GYN Faculty Practice Plan (31 clinicians)

Practice addresses (Care Compare)

1616 A Voorhies Ave
Brooklyn, NY 11235-3914
Phone (718) 283-8225

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8225

Hospital & facility affiliations

  • Maimonides Medical Center Hospital · Brooklyn, NY · CCN 330194

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221025002040 NY Practitioner - Obstetrics/Gynecology 3779959259 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
318534NYMDObstetrics & Gynecology Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan Current
since Aug 22, 2022
Accepting new patients
Maimonides Faculty Practice Plan Current
since Aug 22, 2022
Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients
Maimonides Medical Center Past Accepting new patients

Locations

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 318534 NY Yes

Addresses

Primary practice location

1 Hospital PLZ
Stamford, CT 06902-3602

Mailing address

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-7581

Other providers in Stamford, CT

All providers in Stamford, CT · Obstetrics & Gynecology Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.