Organization Active NPI

Paul Michael Kuzma Jr MD

  • Ophthalmology Physician
  • Bridgewater, PA
National Provider Identifier
1023280492
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD038361L Issued in PA
Legal business name
PAUL MICHAEL KUZMA JR MD
Practice address
628 Market Street
Bridgewater, PA 15009
Phone
(724) 728-2848
Fax
(724) 728-7085
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mrs. Christine Marie Smith
Title
Ofc MGR
Phone
(724) 728-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD038361L PA Primary

Addresses

Primary practice location

628 Market Street
Bridgewater, PA 15009

Mailing address

628 Market Street
Bridgewater, PA 15009
Phone (724) 728-2848

Other identifiers 1

IdentifierTypeStateIssuer
0010171560001MedicaidPA

National Provider Directory

National Provider Directory

Locations

628 Market St
West Bridgewater, PA 15009
Phone (412) 728-9068

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1023280492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MARKET STREET",
            "city": "BRIDGEWATER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-728-2848",
            "fax_number": "724-728-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MARKET STREET",
            "city": "BRIDGEWATER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-728-2848",
            "fax_number": "724-728-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MICHAEL KUZMA JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFC MGR",
        "authorized_official_telephone_number": "724-728-2848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD038361L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010171560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.