Organization Active NPI

Lanestha, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Feasterville Trevose, PA
National Provider Identifier
1033427844
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD 433567 Issued in PA
Legal business name
LANESTHA, P.C.
Practice address
2 Park LN Ste 101
Feasterville Trevose, PA 19053-6004
Phone
(215) 953-9944
Fax
(215) 953-9943
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Victor Adamov, MDNPI 1700043668
Title
Director
Phone
(856) 905-3537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X MD 433567 PA Primary

Addresses

Primary practice location

2 Park LN Ste 101
Feasterville Trevose, PA 19053-6004

Mailing address

2 Park LN Ste 101
Feasterville Trevose, PA 19053-6004
Phone (215) 953-9944

Other names 1

  • LanesthA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110107000515 PA Part B Supplier - Clinic/Group Practice 1355530262 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

Locations

2 Park Ln
Ste 101
Feasterville Trevose, PA 19053
Phone (215) 310-0199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1033427844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK LN STE 101",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-953-9944",
            "fax_number": "215-953-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK LN STE 101",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-953-9944",
            "fax_number": "215-953-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANESTHA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "ADAMOV",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-905-3537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD 433567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LanesthA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.