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JOEL BROCK M.D
NPI 1104150283
General Practice in Staten Island, NY

Active since September 23, 2009
479 SLEIGHT AVE, STATEN ISLAND, NY 10307(718) 605-5225(718) 605-5225 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joel Brock M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOEL BROCK M.D (NPI 1104150283) is an individual general practice provider in Staten Island, New York, licensed in New York (119043) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104150283
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOEL BROCKCredential: M.D
Location Address479 SLEIGHT AVEStaten Island, NY 10307-1942
Mailing Address479 Sleight AveStaten Island, NY 10307-1942 · (718) 605-5225 · Fax (718) 605-5225
Phone(718) 605-5225
Fax(718) 605-5225
Sole ProprietorNo
Enumeration DateSeptember 23, 2009
✔ NPI 1104150283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 119043
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
479 SLEIGHT AVE, Staten Island, NY 10307
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joel Brock's NPI number?

The NPI number for Joel Brock is 1104150283. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Joel Brock located?

Joel Brock practices at 479 Sleight Ave, Staten Island, NY 10307. The listed phone number is (718) 605-5225.

What is Joel Brock's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joel Brock was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.