Active NPI
Iman Ben Hamza, DO
- Family Medicine Physician
- Pittston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS023887
- Practice address
- 42 N Main St
Pittston, PA 18640-1916 - Phone
- (570) 654-0880
- NPI assigned
- Apr 6, 2021
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS023887 | PA | Primary |
Addresses
Primary practice location
42 N Main St
Pittston, PA 18640-1916
Mailing address
25 Church St
Wilkes Barre, PA 18765-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
42 N Main St
Pittston, PA 18640
Phone (570) 602-5610
57 N Main St
Pittston, PA 18640
Phone (570) 602-5620
25 Church St
Wilkes Barre, PA 18765
Phone (570) 808-3181
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Geisinger Medical Group Pittston
- Family Medicine Physician
- Pittston, PA
- NPI 1154372530
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Pittston Radiology, a Service of GWV
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
dba Geisinger HealthPlex CenterPoint
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1003495193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CHURCH ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187650999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 N MAIN ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186401916",
"telephone_number": "570-654-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEN HAMZA",
"first_name": "IMAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS023887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.