Mr. Jack Joseph, RN
Registered Nurse in Staten Island, New York
1295352433- Practice location
- 12 Lyle CT, Staten Island, NY 10306-1142
- Phone
- 718-987-3849
- Fax
- —
- Last updated
- July 4, 2020
Jack Joseph is a Registered Nurse based in Staten Island, NY. Jack Joseph practices in Staten Island, NY and has the professional credentials of RN. The NPI Number for Jack Joseph is 1295352433 and holds a License No. 791360 (NY). The current practice location address for Jack Joseph is 12 Lyle CT, Staten Island, NY 10306-1142 and can be reached out via phone at 718-987-3849.
Provider Profile Details
- NPI Number
- 1295352433
- Provider Name
- Jack Joseph
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Lyle CT, Staten Island, NY 10306-1142
- Phone Number
- 718-987-3849
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 4, 2020
- Last Update Date
- July 4, 2020
- Certification Date
- July 4, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Lyle CT
Staten Island, NY 10306-1142 - City
- Staten Island
- State
- New York
- Zip
- 10306-1142
- Phone Number
- 718-987-3849
Provider Business Mailing Address Details
- Address
- 36 4TH Ave
Port Reading, NJ 07064-2004 - City
- Port Reading
- State
- NJ
- Zip
- 07064-2004
- Phone Number
- 516-385-0875
License Information
- License Number
- 791360
- License State
- NY
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jack Joseph, RN?
The NPI number of Mr. Jack Joseph, RN is 1295352433. It was assigned on July 4, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Jack Joseph, RN?
Mr. Jack Joseph, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 791360.
Where does Mr. Jack Joseph, RN practice?
The practice location is 12 Lyle CT, Staten Island, NY 10306-1142. The office can be reached at 718-987-3849 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295352433 directly on the NPPES registry website.