Organization Active NPI

Keystone Neuromonitoring Associates PC

  • Specialist
  • Gettysburg, PA
National Provider Identifier
1083754238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEYSTONE NEUROMONITORING ASSOCIATES PC
Practice address
802 Burnside Dr
Gettysburg, PA 17325-8974
Phone
(410) 740-2370
NPI assigned
Feb 7, 2007
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
Mark D'Addato
Title
Secretary
Phone
(410) 740-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

802 Burnside Dr
Gettysburg, PA 17325-8974

Mailing address

802 Burnside Dr
Gettysburg, PA 17325-8974
Phone (410) 740-2370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BURNSIDE DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258974",
            "telephone_number": "410-740-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BURNSIDE DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258974",
            "telephone_number": "410-740-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NEUROMONITORING ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'ADDATO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-740-2370"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, 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.