1740274828 NPI number — DR. JOEL H HOROVITZ MD

Table of content: DR. JOEL H HOROVITZ MD (NPI 1740274828)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740274828 NPI number — DR. JOEL H HOROVITZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOROVITZ
Provider First Name:
JOEL
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740274828
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/31/2006
NPI Reactivation Date:
03/31/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4802 10TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11219-2844
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-283-8461
Provider Business Mailing Address Fax Number:
718-283-8909

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
948 48TH ST
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219-2918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-8461
Provider Business Practice Location Address Fax Number:
718-283-8909
Provider Enumeration Date:
09/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  128391 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 602351 . This is a "AETNA - HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: TAX ID . This is a "MEDICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0094355-B . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: YES . This is a "ELDERPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00246608 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 128391-A15 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 70D20 . This is a "BLUE CROSS BLUE SHEILD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 70D201 . This is a "BLUECHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: MD543 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: YES . This is a "CBB" identifier . This identifiers is of the category "OTHER".
  • Identifier: TAX ID . This is a "32BJ BUILD SVS" identifier . This identifiers is of the category "OTHER".
  • Identifier: YES . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010128391NY . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: YES . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5404046 . This is a "AETNA - PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 344780101 . This is a "HEALTHPLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 830Y03 . This is a "CIGNA HMO ONLY" identifier . This identifiers is of the category "OTHER".
  • Identifier: YES . This is a "GENERAL AMERICAN LIFE" identifier . This identifiers is of the category "OTHER".




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