Provider Demographics
NPI:1497774350
Name:JOSEPH, ROSY E (MD)
Entity Type:Individual
Prefix:
First Name:ROSY
Middle Name:E
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 ESSEX STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2207
Mailing Address - Country:US
Mailing Address - Phone:201-646-0110
Mailing Address - Fax:201-646-0219
Practice Address - Street 1:360 ESSEX STREET
Practice Address - Street 2:SUITE 304
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2207
Practice Address - Country:US
Practice Address - Phone:201-646-0110
Practice Address - Fax:201-646-0219
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07078900207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9128204Medicaid
NJ9128204Medicaid
NJ042839UHCMedicare ID - Type Unspecified