Active NPI
Mon Valley Pathology Associates, LTD
- Anatomic Pathology & Clinical Pathology Physician
- Monongahela, PA
National Provider Identifier
1093777401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- MON VALLEY PATHOLOGY ASSOCIATES, LTD
- Practice address
- 1163 Country Club Rd
Monongahela, PA 15063-1013 - Phone
- (805) 578-8300
- NPI assigned
- Apr 3, 2006
- Last updated
- Apr 28, 2020
- 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
- Nirmal Kotwal, MD
- Title
- President
- Phone
- (805) 578-8300
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1163 Country Club Rd
Monongahela, PA 15063-1013
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014560940004 | Medicaid | PA |
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.
-
- Cytopathology Physician
- Monongahela, PA
- NPI 1699737007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588032000000",
"number": "1093777401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631013",
"telephone_number": "805-578-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MON VALLEY PATHOLOGY ASSOCIATES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A",
"authorized_official_last_name": "KOTWAL",
"authorized_official_first_name": "NIRMAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-578-8300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014560940004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monongahela, PA
- Mon City Chiropractic Clinic, PC
- Mon Vale Clinical Professionals, Inc. (Mon-Vale Anesthesia Professionals)
- Mon Vale Clinical Professionals, Inc. (Mon-Vale Hospitalists)
- Mon Valley Anesthesia Associates PC (Monongahela Valley Anesthesia Associates PC)
- Mon Valley Dialysis Clinic, Inc.
- Mon Valley Urology, Inc
- Mon-Vale Oncology, Inc.
- Mon-Vale Radiation Oncology, Inc.
- Mon-Vale Specialty Practices, Inc (Mon-Vale Endocrinology)
- Mon-Vale Specialty Practices, Inc (Mon Vale Cardiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.