NPIMap

Organization Active NPI

Palmerton Pediatrics

  • Clinical Medical Laboratory
  • Palmerton, PA
National Provider Identifier
1013219849
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PALMERTON PEDIATRICS
Practice address
217 Franklin Ave
Palmerton, PA 18071-1521
Phone
(610) 826-1166
Fax
(610) 824-1521
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Mira Slizovsky, M.D.
Title
President
Phone
(610) 826-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PA Primary

Addresses

Primary practice location

217 Franklin Ave
Palmerton, PA 18071-1521

Mailing address

217 Franklin Ave
Palmerton, PA 18071-1521
Phone (610) 826-1166

Other identifiers 1

IdentifierTypeStateIssuer
G79638OtherPAUPIN

National Provider Directory

National Provider Directory
Tax ID family
Palmerton Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 Franklin Ave
Palmerton, PA 18071
Phone (610) 824-5050

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1013219849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711521",
            "telephone_number": "610-826-1166",
            "fax_number": "610-824-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711521",
            "telephone_number": "610-826-1166",
            "fax_number": "610-824-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SLIZOVSKY",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-826-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G79638",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.