Provider Demographics
NPI:1720065832
Name:MCCARTHY, JOSEPH V (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:V
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N BAYSHORE DR
Mailing Address - Street 2:APT 4103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5153
Mailing Address - Country:US
Mailing Address - Phone:917-520-6021
Mailing Address - Fax:
Practice Address - Street 1:2020 N BAYSHORE DR
Practice Address - Street 2:APT 4103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5153
Practice Address - Country:US
Practice Address - Phone:917-520-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1189842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00771742Medicaid
JM29A2410Medicare ID - Type Unspecified
C07858Medicare UPIN