Kubicki Podiatry PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC004606L Issued in PA

Legal business name

KUBICKI PODIATRY PC

Practice address

130 W 2ND St
Berwick, PA 18603-4749

Phone

(570) 579-5011

Fax

(570) 579-5040

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Jody Kubicki, DPM

Title

Doctor

Phone

(570) 759-5011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Caroline G. Iglio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
  • NPI 1336448042
  NPD (past)
• Brian Robert Snyder, DO

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1558380584
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1063442853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 2ND ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034749",
            "telephone_number": "570-579-5011",
            "fax_number": "570-579-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 2ND ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034749",
            "telephone_number": "570-579-5011",
            "fax_number": "570-579-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBICKI PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "KUBICKI",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "570-759-5011",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC004606L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "SC004606L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Rehabilitation Systems Inc (Keystone Rehabilitation Systems)
• Brandon Kishbaugh, PT
• Robert Kitonyo
• Elise Klinger, LSW
• John T Kozlowski, R.PH.
• Krystan Joy Kyttle, OTR/L
• Joseph Millard Lawall, RPH
• Annette M Leberfinger, RDH, PHDHP
• Michael Ronal Lehan
• Jason Lin, PHARM D

• Foot Surgery Podiatrist in Berwick, PA
• Providers in Berwick, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.