Organization Active NPI

Mountaintop Pediatrics PC

  • Pediatrics Physician
  • Hazle Township, PA
National Provider Identifier
1053614008
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS014215 Issued in PA
Legal business name
MOUNTAINTOP PEDIATRICS PC
Practice address
5024 Old Airport Rd
Hazle Township, PA 18202-3236
Phone
(570) 450-5025
NPI assigned
Dec 14, 2010
Last updated
Apr 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Irene Man-Hsiao, D.ONPI 1275527269
Title
Owner
Phone
(347) 561-0794

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
Pediatrics Physician 208000000X OS014215 PA Primary

Addresses

Primary practice location

5024 Old Airport Rd
Hazle Township, PA 18202-3236

Mailing address

PO Box 1654
Kingston, PA 18704-0654
Phone (570) 208-5534

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
39D2244698Mountaintop Pediatrics, PC5024 Old Airport Road, Hazleton, PA 18202Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

5024 Old Airport Rd
Hazle Township, PA 18202
Phone (570) 450-5025

Practitioners & affiliated clinicians

Practitioners 2

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": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1053614008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040654",
            "telephone_number": "570-208-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 OLD AIRPORT RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023236",
            "telephone_number": "570-450-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "MAN-HSIAO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-561-0794",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS014215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.