Provider Demographics
NPI:1679531065
Name:JOSEPH, JONATHAN K (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:K
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:106 W 131ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2031
Mailing Address - Country:US
Mailing Address - Phone:718-915-1305
Mailing Address - Fax:347-926-0988
Practice Address - Street 1:655 MORRIS AVE STE 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4898
Practice Address - Country:US
Practice Address - Phone:347-736-9046
Practice Address - Fax:347-532-2328
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY232310207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease