Organization Active NPI

James J Kosik, DO, PC

  • Internal Medicine Physician
  • Avoca, PA
National Provider Identifier
1013020551
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-007465-L Issued in PA
Legal business name
JAMES J KOSIK, DO, PC
Practice address
824 McAlpine St
Avoca, PA 18641-1140
Phone
(570) 457-9299
Fax
(570) 457-5014
NPI assigned
Aug 17, 2006
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joann Kosik, PA-CNPI 1295848646
Title
Office Manager
Phone
(570) 457-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS-007465-L PA Primary

Addresses

Primary practice location

824 McAlpine St
Avoca, PA 18641-1140

Mailing address

824 McAlpine St
Avoca, PA 18641-1140
Phone (570) 457-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061116000070 PA Part B Supplier - Clinic/Group Practice 8426056086 Receives reassigned benefits from 2 practitioners
Practice locations: Avoca, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0896722James J Kosik DO PC824 McAlpine Street, Avoca, PA 18641Provider-performed microscopyJan 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1013020551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411140",
            "telephone_number": "570-457-9299",
            "fax_number": "570-457-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411140",
            "telephone_number": "570-457-9299",
            "fax_number": "570-457-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J KOSIK, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "KOSIK",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-457-9299",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-007465-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avoca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.