DR. JORDAN S JOSEPHSON M.D.
NPI 1194883660
Specialist in New York, NY

Active since December 05, 2006
205 E 76TH ST, SUITE M-1, NEW YORK, NY 10021(212) 717-1773(212) 472-0134 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jordan S Josephson M.d. NPPES

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

DR. JORDAN S JOSEPHSON M.D. (NPI 1194883660) is an individual specialist in New York, New York, licensed in New York (165057) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1194883660
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JORDAN S JOSEPHSONCredential: M.D.
Location Address205 E 76TH ST, SUITE M-1New York, NY 10021-2147
Mailing Address205 E 76th St, Suite M-1New York, NY 10021-2147 · (212) 717-1773 · Fax (212) 472-0134
Fax(212) 472-0134
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateMarch 28, 2012
NPI 1194883660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 165057
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

205 E 76TH ST, New York, NY 10021

Other Identifiers 2

Medicare ID-Type Unspecified18F041NY
Medicare UPINC48956NY

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
205 E 76TH ST, SUITE M-2
NEW YORK, NY 10021
Nurse Practitioner (Family)
205 E 76TH ST, SUITE M2
NEW YORK, NY 10021
Internal Medicine
205 E 76TH ST, SUITE M-3
NEW YORK, NY 10021
Internal Medicine
205 E 76TH ST, #M2
NEW YORK, NY 10021
Internal Medicine
205 E 76TH ST, STE M3
NEW YORK, NY 10021
Obstetrics & Gynecology
205 E 76TH ST, SUITE M3
NEW YORK, NY 10021
Internal Medicine
205 E 76TH ST
NEW YORK, NY 10021
Specialist
205 E 76TH ST, M-1
NEW YORK, NY 10021

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 Jordan Josephson's NPI number?

The NPI number for Jordan Josephson is 1194883660. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Jordan Josephson located?

Jordan Josephson practices at 205 E 76th St Suite M-1, New York, NY 10021. The listed phone number is (212) 717-1773.

What is Jordan Josephson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jordan Josephson was last updated on March 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.