MEDICARE: JOSHUA NOAH HALPERN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	165127	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2330747	OTHER	NY	UNTIED HEALTHCARE
2	0315238	OTHER	NY	CIGNA
3	010186-01	OTHER	NY	AMERICHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4100368	OTHER	NY	GHI
6	2446E1	OTHER	NY	EMPIRE BC/BS

General Provider Information

NPI Number	:	1649241100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA NOAH HALPERN MD

Provider Business Mailing Address
First Line	:	3838 NEPTUNE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1328
Country	:	US
Telephone Number	:	718-372-0263
Fax Number	:

Provider Business Practice Location Address
First Line	:	3632 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5303
Country	:	US
Telephone Number	:	718-332-4409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	04/02/2008

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