West Side Avts

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WEST SIDE AVTS

Practice address

75 Evans St
Kingston, PA 18704-1856

Phone

(570) 288-8493

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Margaret Janosik

Title

School Nurse

Phone

(570) 288-8493

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083640791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EVANS ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187041856",
            "telephone_number": "570-288-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EVANS ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187041856",
            "telephone_number": "570-288-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE AVTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANOSIK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "570-288-8493"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019489570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Kingston, PA
• Providers in Kingston, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• 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.