Provider Demographics
NPI:1558462556
Name:JOSEPH, ERIC MARK (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MARK
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 OLD SHORT HILLS RD STE 112
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5607
Mailing Address - Country:US
Mailing Address - Phone:973-325-1155
Mailing Address - Fax:973-325-8668
Practice Address - Street 1:22 OLD SHORT HILLS RD STE 112
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5607
Practice Address - Country:US
Practice Address - Phone:973-325-1155
Practice Address - Fax:973-325-8668
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA067103207YS0123X
NY2019411207YS0123X
NJ25MA067103002083P0901X, 2083B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8442606Medicaid
G97215Medicare UPIN
NJ026379Medicare ID - Type Unspecified