Active NPI
Elias Kamaal Josephs, DDS
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1942511803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 056620
- Practice address
- 333 4TH St
Apt. 2-F
Brooklyn, NY 11215-2866 - Phone
- (561) 350-5657
- NPI assigned
- Jun 25, 2010
- Last updated
- Jun 30, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 056620 | NY | Primary |
Addresses
Primary practice location
333 4TH St
Apt. 2-F
Brooklyn, NY 11215-2866
Mailing address
333 4TH St
Apt. 2-F
Brooklyn, NY 11215-2866
Phone (561) 350-5657
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056620 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372550400000",
"number": "1942511803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 4TH ST",
"address_2": "APT. 2-F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152866",
"telephone_number": "561-350-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 4TH ST",
"address_2": "APT. 2-F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152866",
"telephone_number": "561-350-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHS",
"first_name": "ELIAS",
"middle_name": "KAMAAL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2013-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "056620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.