IndividualActive
Gennadi Josovich
NPI 1114274776 · Specialist · Merrick, NY
Gennadi Josovich is a Specialist provider in Merrick, NY (NPI 1114274776).
Provider details
- NPI number
- 1114274776
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 249441031 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2068 Berkley Ln
Merrick, NY 11566-5514
Phone: (917) 642-0644
Street-level locationGet directions
Mailing address
2068 Berkley Ln
Merrick, NY 11566-5514
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Frequently asked questions
- What is Gennadi Josovich's NPI number?
- Gennadi Josovich's National Provider Identifier (NPI) is 1114274776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gennadi Josovich's specialty?
- Gennadi Josovich is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Gennadi Josovich located?
- Gennadi Josovich's practice location on file with NPPES is 2068 Berkley Ln, Merrick, NY 11566-5514.
- What is Gennadi Josovich's phone number?
- The practice phone number listed in the NPPES registry for Gennadi Josovich is (917) 642-0644.
- Is Gennadi Josovich's NPI active?
- Yes — Gennadi Josovich's NPI (1114274776) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.