Provider Demographics
NPI:1699034546
Name:HALPERN, JOSHUA A
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:A
Last Name:HALPERN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13009 S PARKER RD UNIT 393
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3449
Mailing Address - Country:US
Mailing Address - Phone:720-666-4739
Mailing Address - Fax:417-377-9003
Practice Address - Street 1:18 E 41ST ST FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6244
Practice Address - Country:US
Practice Address - Phone:917-503-9148
Practice Address - Fax:833-449-4351
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD27383208800000X
VT042.0017181208800000X
NH24608208800000X
CT75427208800000X
NY283711-01208800000X
MA1017045208800000X
DEC1-0026182208800000X
NJ25MA11945900208800000X
IL036.146058208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology