Provider Demographics
NPI:1134237357
Name:FOX, JOSEPH S (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:FOX
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4338
Mailing Address - Country:US
Mailing Address - Phone:212-473-3049
Mailing Address - Fax:212-777-3347
Practice Address - Street 1:33 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4338
Practice Address - Country:US
Practice Address - Phone:212-473-3049
Practice Address - Fax:212-777-3347
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002537213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY199291OtherUNITED HEALTHCARE
NY199291OtherEMPIRE PLAN
NY62268196OtherATLANTIS
NY87744OtherAETNA HEALTH PLANS
NYNS366OtherOXFORD HEALTH PLANS
NY4209852OtherAETNA
NY46600POtherHIP
NYOC8595OtherHEALTHNET
NY0231508OtherCIGNA
NYP33711OtherEMPIRE BLUE CROSS
NY0599393OtherGHI
NY62268196OtherATLANTIS
NY87744OtherAETNA HEALTH PLANS