Healthcare Provider Details

I. General information

NPI: 1669667705
Provider Name (Legal Business Name): JOJI TOKITA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1249 5TH AVENUE TERENCE CARDINAL COOKE HEALTH CARE CENTER
NEW YORK NY
10029
US

IV. Provider business mailing address

1 GUSTAVE L LEVY PL # 3000
NEW YORK NY
10029-6500
US

V. Phone/Fax

Practice location:
  • Phone: 212-360-3860
  • Fax: 212-860-3860
Mailing address:
  • Phone: 212-987-3100
  • Fax: 212-731-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number245927
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: