NPIMap

Organization Active NPI

Twin Rivers Endoscopy Center, Inc

  • Endoscopy Clinic/Center
  • Easton, PA
National Provider Identifier
1063465037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
05711500 Issued in PA
Legal business name
TWIN RIVERS ENDOSCOPY CENTER, INC
Practice address
20 Community Dr
Easton, PA 18045-2658
Phone
(610) 258-6635
Fax
(610) 258-2879
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shanker Mukherjee, M.D.NPI 1558340265
Title
Ceo
Phone
(610) 258-6635

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
Endoscopy Clinic/Center 261QE0800X 05711500 PA Primary

Addresses

Primary practice location

20 Community Dr
Easton, PA 18045-2658

Mailing address

20 Community Dr
Easton, PA 18045-2658
Phone (610) 258-6635

Other identifiers 5

IdentifierTypeStateIssuer
390821OtherPACAPITAL BLUE CROSS
393727OtherPAHIGHMARK BLUE SHIELD
4972443OtherPACIGNA
1001448OtherPAAETNA
5110626OtherPAAETNA PPO

National Provider Directory

National Provider Directory

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063465037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS ENDOSCOPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "SHANKER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-258-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PA",
            "license": "05711500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390821",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "393727",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4972443",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1001448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5110626",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.