Active NPI
PA General and Specialty Medicine
- Internal Medicine Physician
- Scranton, PA
National Provider Identifier
1053897231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PA GENERAL AND SPECIALTY MEDICINE
- Practice address
- 1405 Mulberry St
Scranton, PA 18510-2200 - Phone
- (718) 534-0689
- NPI assigned
- Jul 11, 2018
- Last updated
- Nov 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchok Kurtzer, MD
- Title
- Owner
- Phone
- (718) 362-1411
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1405 Mulberry St
Scranton, PA 18510-2200
Mailing address
228 E Route 59 # 408
Nanuet, NY 10954-2905
Phone (718) 362-1411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1154321891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543449600000",
"number": "1053897231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E ROUTE 59 # 408",
"city": "NANUET",
"state": "NY",
"postal_code": "109542905",
"telephone_number": "718-362-1411",
"fax_number": "718-414-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102200",
"telephone_number": "718-534-0689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PA GENERAL AND SPECIALTY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2018-11-29",
"status": "A",
"authorized_official_last_name": "KURTZER",
"authorized_official_first_name": "YITZCHOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-362-1411",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.